Mr Ricky Dwayne Latham, MD in Idaho Falls, ID - Medicare Cardiovascular Disease (cardiology)

Mr Ricky Dwayne Latham, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Idaho Falls, Idaho. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 1979 and has 45 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice St Marks Professional Services Llc, Bmh Inc and his current practice location is 2001 Valenica Drive, Suite 201, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 524-9400.

Mr Ricky Dwayne Latham is licensed to practice in Oregon (license number MD170342) 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 1477553139.

Contact Information

	Mr Ricky Dwayne Latham, MD
	2001 Valenica Drive, Suite 201, Idaho Falls, ID 83404
	(208) 524-9400
	(208) 524-9401

Map and Direction

Physician's Profile

Full Name	Mr Ricky Dwayne Latham
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	45 Years
Location	2001 Valenica Drive, Idaho Falls, Idaho
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:

Mr Ricky Dwayne Latham attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1979

NPI Data:

NPI Number: 1477553139
Provider Enumeration Date: 07/26/2005
Last Update Date: 02/13/2019

Medicare PECOS Information:

PECOS PAC ID: 0446249387
Enrollment ID: I20040507000103

Medical Identifiers

Medical identifiers for Mr Ricky Dwayne Latham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477553139	NPI	-	NPPES
111489100	Other		MEDICAID WYOMING, MWY
000010005099	Other		BLUE SHIELD OF ID, BS
060053550	Other		RAILROAD MEDICARE, RRM
DZ692	Other		BLUE CROSS OF ID SE, BC2
M6887	Other	ID	ID
000010005099	Other		BLUE SHIELD OF ID S, BS2
000353200	Other		EDS- MEDICAID, EDS
111489100	Other		WY/EDS CONSULTEC, INC WYM
8318842	Other		MEDICAID OF WA, MD-W
DZ692	Other		BLUE CROSS OF IDAHO, BC
000353200	Medicaid	ID
500680039	Medicaid	OR
0031512	Other		MONTANA MEDICAID, MEM
1134041	Other		MEDICARE-CIGNA, MC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	M6887 (Idaho)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	MD170342 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bingham Memorial Hospital	Blackfoot, ID	Hospital
Eastern Idaho Regional Medical Center	Idaho falls, ID	Hospital
Mountain View Hospital	Idaho falls, ID	Hospital
Portneuf Medical Center	Pocatello, ID	Hospital
Caribou Memorial Hospital	Soda springs, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Marks Professional Services Llc	1355248089	7
Bmh Inc	8426149758	124

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 Ricky Dwayne Latham allows following entities to bill medicare on his behalf.

Entity Name	Bmh Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255539193 PECOS PAC ID: 8426149758 Enrollment ID: O20071018000897

Entity Name	St Marks Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912925629 PECOS PAC ID: 1355248089 Enrollment ID: O20100316001013

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 Ricky Dwayne 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
Mr Ricky Dwayne Latham, MD 1775 Thompson Rd, Coos Bay, OR 97420-2125 Ph: (541) 266-4650	Mr Ricky Dwayne Latham, MD 2001 Valenica Drive, Suite 201, Idaho Falls, ID 83404 Ph: (208) 524-9400

Reviews and Comments

Internal Medicine Doctors in Idaho Falls, ID

Dr. Douglas N Whatmore, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3200 Channing Way, Ste 205, Idaho Falls, ID 83404 Phone: 208-535-4300 Fax: 208-535-4315
Jordan Joseph Cormier, PA-C Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2330 Desoto St, Idaho Falls, ID 83404 Phone: 208-552-4909 Fax: 208-522-6101
Dr. Shawn D Speirs, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2575
Mr. Craig D Scoville, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2220 E 25th St, Idaho Falls, ID 83404 Phone: 208-542-9080 Fax: 208-542-9081
Paul A Gerlach, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2985 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-523-3373 Fax: 208-523-8746
Dr. Ned R Warner, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2770 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-522-4000 Fax: 208-528-4254
Luma Mohsin, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111

Mr Ricky Dwayne Latham, MD - Medicare Cardiovascular Disease (cardiology) in Idaho Falls, ID