| Priscilla W Latta, MD | |
|
400 Hickory St Nw Ste 101, Albany, OR 97321-1700 | |
| (541) 812-3360 | |
| (541) 812-4499 |
| Full Name | Priscilla W Latta |
|---|---|
| Gender | Female |
| Speciality | Undersea And Hyperbaric Medicine |
| Experience | 23 Years |
| Location | 400 Hickory St Nw Ste 101, Albany, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639154974 | NPI | - | NPPES |
| 500623286 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD151051 (Oregon) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | MD151051 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Care | Salem, OR | Home health agency |
| Samaritan Albany General Hospital | Albany, OR | Hospital |
| Samaritan Lebanon Community Hospital | Lebanon, OR | Hospital |
| Good Samaritan Regional Medical Center | Corvallis, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-valley Healthcare Inc | 2769391523 | 110 |
| Albany General Hospital | 9931097987 | 173 |
| Entity Name | Mid-valley Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20031111000297 |
| Entity Name | Good Samaritan Hospital Corvallis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163 |
| Entity Name | Samaritan North Lincoln Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306897491 PECOS PAC ID: 7911816301 Enrollment ID: O20040120000329 |
| Entity Name | Samaritan Pacific Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174888010 PECOS PAC ID: 2466353529 Enrollment ID: O20040204000304 |
| Entity Name | Albany General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154372340 PECOS PAC ID: 9931097987 Enrollment ID: O20040310000310 |
| Entity Name | Samaritan North Lincoln Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1306897491 PECOS PAC ID: 7911816301 Enrollment ID: O20061104000117 |
| Entity Name | Mid-valley Healthcare Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20061104000140 |
| Entity Name | Samaritan Pacific Health Services Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1801847066 PECOS PAC ID: 2466353529 Enrollment ID: O20061104000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Priscilla W Latta, MD Po Box 1188, Corvallis, OR 97339-1188 Ph: () - | Priscilla W Latta, MD 400 Hickory St Nw Ste 101, Albany, OR 97321-1700 Ph: (541) 812-3360 |
Dr. Charles L. Pederson, M.D., MPH Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1100 7th Ave Sw, Albany, OR 97321 Phone: 541-812-5600 | |
Dr. Luci Mario Kovacevic, M.D., M.P.H. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1100 7th Ave Sw, Albany, OR 97321 Phone: 541-812-5600 | |
Anne R Christensen, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1100 7th Ave Sw, Albany, OR 97321 Phone: 541-812-5600 |