Dr Ian G Latham, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in La Crosse, Wisconsin. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Addiction Medicine. He is a member of the group practice Gundersen Lutheran Medical Center Inc and his current practice location is
1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 782-7300.
Dr Ian G Latham is licensed to practice in Wisconsin (license number 83825) 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 1003436296.
Physician's Profile
| Full Name | Dr Ian G Latham |
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| Gender | Male |
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| Speciality | Addiction Medicine |
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| Experience | 6 Years |
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| Location | 1836 South Ave, La Crosse, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ian G Latham graduated from medical school in 2020
NPI Data:
- NPI Number: 1003436296
- Provider Enumeration Date: 04/17/2020
- Last Update Date: 05/18/2026
Medicare PECOS Information:
- PECOS PAC ID: 2365832011
- Enrollment ID: I20241105001947
Medical Identifiers
Medical identifiers for Dr Ian G Latham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003436296 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 83825 (Wisconsin) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | 83825 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gundersen Lutheran Medical Center Inc | 2163331414 | 901 |
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. Dr Ian G Latham allows following entities to bill medicare on his behalf.
| Entity Name | Gundersen Lutheran Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225873458
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254 |
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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. Dr Ian G Latham 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 |
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Dr Ian G Latham, MD
1836 South Ave,
La Crosse, WI 54601-5429
Ph: (608) 782-7300 | Dr Ian G Latham, MD
1836 South Ave,
La Crosse, WI 54601-5429
Ph: (608) 782-7300 |
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