Latrice Nicole Rockmore, NP is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Valdosta, Georgia. Her current practice location is
2804 N Oak St, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(229) 241-8925.
Latrice Nicole Rockmore is licensed to practice in Georgia (license number RN274529) 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 1154160125.
Physician's Profile
| Full Name | Latrice Nicole Rockmore |
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| Gender | Female |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 2804 N Oak St, Valdosta, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154160125
- Provider Enumeration Date: 05/21/2024
- Last Update Date: 05/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345776217
- Enrollment ID: I20241216002651
Medical Identifiers
Medical identifiers for Latrice Nicole Rockmore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154160125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | RN274529 (Georgia) | 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. Latrice Nicole Rockmore allows following entities to bill medicare on her behalf.
| Entity Name | Care Medical Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063521250
PECOS PAC ID: 6406807015
Enrollment ID: O20050201000493 |
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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. Latrice Nicole Rockmore 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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Latrice Nicole Rockmore, NP
2804 N Oak St,
Valdosta, GA 31602-5914
Ph: (229) 241-8925 | Latrice Nicole Rockmore, NP
2804 N Oak St,
Valdosta, GA 31602-5914
Ph: (229) 241-8925 |
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