Latasha Grice, is a medicare enrolled "Nurse Practitioner - Family" provider in Lake Charles, Louisiana. Her current practice location is
2000 Opelousas St, Lake Charles, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(337) 439-9983.
Latasha Grice is licensed to practice in Louisiana (license number AP10159) 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 1619460870.
Healthcare Provider's Profile
| Full Name | Latasha Grice |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2000 Opelousas St, Lake Charles, Louisiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619460870
- Provider Enumeration Date: 06/12/2018
- Last Update Date: 10/07/2019
Medicare PECOS Information:
- PECOS PAC ID: 3173956042
- Enrollment ID: I20191206000883
Medical Identifiers
Medical identifiers for Latasha Grice such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619460870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP10159 (Louisiana) | 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. Latasha Grice allows following entities to bill medicare on her behalf.
| Entity Name | Hulin Urgent Care Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699049262 PECOS PAC ID: 6800051285 Enrollment ID: O20120710000537 |
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| Entity Name | Hni Medical Services At Glenwood Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669962064 PECOS PAC ID: 0547518920 Enrollment ID: O20180801000659 |
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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. Latasha Grice 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 |
Latasha Grice, 1409 Kirkman St, Lake Charles, LA 70601-5344 Ph: (337) 419-3586 | Latasha Grice, 2000 Opelousas St, Lake Charles, LA 70601-2641 Ph: (337) 439-9983 |
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