Mr Phillip Lane Latham Jr, MD is a medicare enrolled "Dermatology" physician in Sumter, South Carolina. He went to University Of South Carolina School Of Medicine and graduated in 1988 and has 37 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Dermatology And Skin Surgery Inc and his current practice location is
560 Constitution Dr, Sumter, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 775-4469.
Mr Phillip Lane Latham Jr is licensed to practice in South Carolina (license number BL4905850) 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 1437178548.
Physician's Profile
| Full Name | Mr Phillip Lane Latham Jr |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 37 Years |
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| Location | 560 Constitution Dr, Sumter, South Carolina |
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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:
- Mr Phillip Lane Latham Jr attended and graduated from University Of South Carolina School Of Medicine in 1988
NPI Data:
- NPI Number: 1437178548
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 09/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 6103825476
- Enrollment ID: I20111024000256
Medical Identifiers
Medical identifiers for Mr Phillip Lane Latham Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437178548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | BL4905850 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dermatology And Skin Surgery Inc | 2860822699 | 3 |
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. Mr Phillip Lane Latham Jr allows following entities to bill medicare on his behalf.
| Entity Name | Dermatology And Skin Surgery Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366075343
PECOS PAC ID: 2860822699
Enrollment ID: O20200420000724 |
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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. Mr Phillip Lane Latham 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 |
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Mr Phillip Lane Latham Jr, MD
560 Constitution Dr,
Sumter, SC 29154-8175
Ph: (803) 775-4469 | Mr Phillip Lane Latham Jr, MD
560 Constitution Dr,
Sumter, SC 29154-8175
Ph: (803) 775-4469 |
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