Clarke Latta Henry Jr, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Shawnee Mission, Kansas. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Meritas Health Corporation, Virginia Mason Medical Center and his current practice location is
8901 W 74th St, Suite 1, Shawnee Mission, Kansas. You can reach out to his office (for appointments etc.) via phone at
(913) 341-0120.
Clarke Latta Henry Jr is licensed to practice in Missouri (license number R7F67) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750389029.
Physician's Profile
| Full Name | Clarke Latta Henry Jr |
|---|
| Gender | Male |
|---|
| Speciality | Thoracic Surgery |
|---|
| Experience | 46 Years |
|---|
| Location | 8901 W 74th St, Shawnee Mission, Kansas |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Clarke Latta Henry Jr graduated from medical school in 1978
NPI Data:
- NPI Number: 1750389029
- Provider Enumeration Date: 07/12/2005
- Last Update Date: 02/25/2011
Medicare PECOS Information:
- PECOS PAC ID: 9638226301
- Enrollment ID: I20211112000746
Medical Identifiers
Medical identifiers for Clarke Latta Henry Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750389029 | NPI | - | NPPES |
| 202277919 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | R7F67 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Meritas Health Corporation | 6305748153 | 365 |
| Virginia Mason Medical Center | 9830002617 | 825 |
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. Clarke Latta Henry Jr allows following entities to bill medicare on his behalf.
| Entity Name | Meritas Health Corporation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1801875091
PECOS PAC ID: 6305748153
Enrollment ID: O20040122001058 |
|---|
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. Clarke Latta Henry Jr 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 |
|---|
Clarke Latta Henry Jr, MD
8901 W 74th Street, Suite 1,
Shawnee Mission, KS 66204-2201
Ph: (913) 341-0120 | Clarke Latta Henry Jr, MD
8901 W 74th St, Suite 1,
Shawnee Mission, KS 66204-2204
Ph: (913) 341-0120 |
Reviews and Comments