Ms Modupe D Mcintosh, CPNP - Nurse Practitioner in Clearwater, FL

Ms Modupe D Mcintosh, CPNP is a Nurse Practitioner - Psychiatric/mental Health based in Clearwater, Florida. Ms Modupe D Mcintosh is licensed to practice in Florida (license number APRN11031023) and her current practice location is 13577 Feather Sound Dr, Clearwater, Florida. She can be reached at her office (for appointments etc.) via phone at (904) 902-4408.

NPI number for Ms Modupe D Mcintosh is 1174522916 and her current mailing address is 635 Beaver Ruin Rd Nw, Suite B, Lilburn, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174522916.

Contact Information

Ms Modupe D Mcintosh, CPNP
13577 Feather Sound Dr,
Clearwater, FL 33762-2258
(904) 902-4408
(904) 420-4745

Map and Direction




Provider's Profile

Full NameMs Modupe D Mcintosh
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location13577 Feather Sound Dr, Clearwater, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174522916
  • Provider Enumeration Date: 07/14/2005
  • Last Update Date: 03/20/2024

Medical Identifiers

Medical identifiers for Ms Modupe D Mcintosh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174522916NPI-NPPES
554500072AMedicaidGA
554500072DMedicaidGA
554500072EMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics RN092844 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11031023 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Modupe D Mcintosh is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Modupe D Mcintosh, CPNP
635 Beaver Ruin Rd Nw, Suite B,
Lilburn, GA 30047-3474

Ph: (678) 807-2230
Ms Modupe D Mcintosh, CPNP
13577 Feather Sound Dr,
Clearwater, FL 33762-2258

Ph: (904) 902-4408

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