Adriane Dewitt Latz, MD is a medicare enrolled "Otolaryngology - Pediatric Otolaryngology" physician in Shawnee, Kansas. Her current practice location is
7405 Renner Rd, Shawnee, Kansas. You can reach out to her office (for appointments etc.) via phone at
(913) 588-1227.
Adriane Dewitt Latz is licensed to practice in Missouri (license number 2004010996) 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 1831155993.
Physician's Profile
Full Name | Adriane Dewitt Latz |
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Gender | Female |
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Speciality | Otolaryngology - Pediatric Otolaryngology |
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Location | 7405 Renner Rd, Shawnee, Kansas |
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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: 1831155993
- Provider Enumeration Date: 04/25/2006
- Last Update Date: 07/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 0345214730
- Enrollment ID: I20101005000443
Medical Identifiers
Medical identifiers for Adriane Dewitt Latz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831155993 | NPI | - | NPPES |
200260480B | Medicaid | KS | |
209337302 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YP0228X | Otolaryngology - Pediatric Otolaryngology | 2004010996 (Missouri) | 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. Adriane Dewitt Latz allows following entities to bill medicare on her behalf.
Entity Name | Kansas University Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328 |
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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. Adriane Dewitt Latz 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 |
Adriane Dewitt Latz, MD 7405 Renner Rd, Shawnee, KS 66217-9414 Ph: (913) 588-1227 | Adriane Dewitt Latz, MD 7405 Renner Rd, Shawnee, KS 66217-9414 Ph: (913) 588-1227 |
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