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Shauna J Keys

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

Sc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203

PECOS Enrollment

This provider is enrolled in PECOS as SHAUNA KEYS.

Based on the most recent information from CMS, provider Shauna J Keys 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 3 days ago.

Profile Details

Provider ID
1306152558
Provider Type
Individual
Full Name
Keys, Shauna J
Credential
ARNP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/26/2010
Last Updated
12/29/2023

Contact Information

Practice Location

Sc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203

(800) 491-0909

Unlisted Fax

Mailing Location

3356 Canoe Creek Rd, Saint Cloud, FL 34772-6536

(407) 891-2992

(407) 891-2993

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11029426 Florida
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 3006595 Kentucky
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 23235 South Carolina

Provider Identifiers

ID	Description	Issuer
ID 7100136020	Description Medicaid	Issuer Unlisted Kentucky
ID 000000834316	Description Other	Issuer ANTHEM Kentucky

Shauna J Keys

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Coffin, Melisa Suzanne

Nidiffer, Kimberley Brooke

Smith, Julia Beth

Freeman, Donnie Brad

Caulder, Kristen M

Spires, Glovenia Michelle

Tufts, Tracy Lynn

Ash, Umeko Nicole

Moreland, Sharon Dyan

Lloyd, Nancy Jessica