Mrs Pushpa Latta, FNP in Colusa, CA - Medicare Nurse Practitioner

Mrs Pushpa Latta, FNP is a medicare enrolled "Nurse Practitioner - Family" in Colusa, California. Her current practice location is 555 Fremont St, Colusa, California. You can reach out to her office (for appointments etc.) via phone at (530) 458-8635.

Mrs Pushpa Latta is licensed to practice in California (license number 95017065) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770162794.

Contact Information

	Mrs Pushpa Latta, FNP
	555 Fremont St, Colusa, CA 95932-2534
	(530) 458-8635
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Pushpa Latta
Gender	Female
Speciality	Nurse Practitioner - Family
Location	555 Fremont St, Colusa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770162794
Provider Enumeration Date: 04/06/2021
Last Update Date: 05/05/2021

Medicare PECOS Information:

PECOS PAC ID: 9638588049
Enrollment ID: I20210513003024

Medical Identifiers

Medical identifiers for Mrs Pushpa Latta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770162794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95017065 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Pushpa Latta allows following entities to bill medicare on her behalf.

Entity Name	Ampla Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952333635 PECOS PAC ID: 5092619270 Enrollment ID: O20040225001116

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. Mrs Pushpa Latta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Pushpa Latta, FNP 555 Fremont St, Colusa, CA 95932-2534 Ph: (530) 458-8635	Mrs Pushpa Latta, FNP 555 Fremont St, Colusa, CA 95932-2534 Ph: (530) 458-8635

Reviews and Comments

Nurse Practitioner Nurses in Colusa, CA

Krista L Taylor, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 173 E Webster St, Colusa, CA 95932 Phone: 530-458-8050 Fax: 530-458-5936
Maria Rosario Devega, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 412 4th St, Colusa, CA 95932 Phone: 707-732-8679
Ms. Catherine Marie Delay, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 199 E Webster St, Colusa, CA 95932 Phone: 530-458-5821 Fax: 530-458-3210
Oziel Nassif De Rico, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 412 4th St, Colusa, CA 95932 Phone: 707-732-8679 Fax: 707-261-9113
Dana Lynn Wolucka, BSN, MSN/FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 717 Bridge St, Colusa, CA 95932 Phone: 530-458-2300 Fax: 530-458-5558
Andrea Michelle Balsley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 199 E Webster St, Colusa, CA 95932 Phone: 530-473-5641 Fax: 530-473-5675

Mrs Pushpa Latta, FNP - Medicare Nurse Practitioner in Colusa, CA