| Carlos Alberto Latorre, MD | |
|
1901 Mission 66, Vicksburg, MS 39180-3711 | |
| (601) 636-0097 | |
| Not Available |
| Full Name | Carlos Alberto Latorre |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 1901 Mission 66, Vicksburg, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104088152 | NPI | - | NPPES |
| 00003502 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21672 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hattiesburg Clinic Pa | 5193706794 | 492 |
| Entity Name | Hattiesburg Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| Entity Name | Cal-med Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417410911 PECOS PAC ID: 9830425669 Enrollment ID: O20190731002064 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Alberto Latorre, MD 1901 Mission 66, Vicksburg, MS 39180-3711 Ph: (601) 636-1173 | Carlos Alberto Latorre, MD 1901 Mission 66, Vicksburg, MS 39180-3711 Ph: (601) 636-0097 |
Dr. Robert C Masterson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-8244 | |
Stanley R Easterling, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 104 Mcauley Dr, Vicksburg, MS 39183 Phone: 601-638-7271 | |
George Abraham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 Mission 66, Vicksburg, MS 39180 Phone: 601-619-3838 | |
John R Barnes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 Fax: 601-629-9969 | |
Dr. Robert Michael Cannon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 Fax: 601-629-9969 | |
Breanna Heard-pinho, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-1050 Fax: 601-631-2337 |