Look up the most recent NPI and PECOS records

Meghan Leigh Black

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 956-2000

PECOS Enrollment

This provider is enrolled in PECOS as MEGHAN BLACK.

Based on the most recent information from CMS, provider Meghan Leigh Black is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1265102834
Provider Type
Individual
Full Name
Black, Meghan Leigh
Credential
DNP

Gender
Female
Sole Proprietor
No
Enumeration Date
9/15/2021
Last Updated
12/1/2021

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 956-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 956-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11013105 Florida
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11013105 Florida

Meghan Leigh Black

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Miranda, Yarlenis

Forgan, Anita

Barber, Melinda

Hanania, Hannah

Hemminger, Lois

Mucha, Jennifer Shay

Spicer, Lakesha Nichole

Burns, Shannon Kathleen

Tyle, Veronica Fernicola

Mason, Terri Lynne