Ralph I Latta, MD - Medicare Family Practice in Benton, IL

  1. Home
  2. Family Medicine
  3. IL
  4. Benton
Ralph I Latta, MD is a medicare enrolled "Family Medicine" physician in Benton, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2003 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Physician Services Corporation Of Southern Illinois Inc, Select Physical Therapy Holdings Inc and his current practice location is 501 N Duquoin, Benton, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 435-5362.

Ralph I Latta is licensed to practice in Illinois (license number 036114358) 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 1215956602.

Contact Information

Ralph I Latta, MD
501 N Duquoin,
Benton, IL 62812-5228
(618) 435-5362
(618) 438-2613

Map and Direction




Physician's Profile

Full NameRalph I Latta
GenderMale
SpecialityFamily Practice
Experience22 Years
Location501 N Duquoin, Benton, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ralph I Latta attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2003
  NPI Data:
  • NPI Number: 1215956602
  • Provider Enumeration Date: 07/18/2006
  • Last Update Date: 11/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4789694290
  • Enrollment ID: I20060428000045

Medical Identifiers

Medical identifiers for Ralph I Latta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215956602NPI-NPPES
P00329229OtherILRR MEDICARE NUMBER
CG5564OtherILRR GROUP NUMBER
036114358MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036114358 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lbn Residential Home Health Of Southern IllinoisMarion, ILHome health agency
Lhc-illinois Home Health CareMarion, ILHome health agency
Ssm Health At Home Health-illinoisMount vernon, ILHome health agency
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital
Franklin HospitalBenton, ILHospital
Southern Illinois Hospital Services Dba Herrin HospitalHerrin, ILHospital
Memorial Hospital Of CarbondaleCarbondale, ILHospital
Crossroads Community HospitalMount vernon, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physician Services Corporation Of Southern Illinois Inc9234022567103
Select Physical Therapy Holdings Inc95370764011463

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. Ralph I Latta allows following entities to bill medicare on his behalf.
Entity NamePhysician Services Corporation Of Southern Illinois Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831101807
PECOS PAC ID: 9234022567
Enrollment ID: O20040304000583

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. Ralph I Latta 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 AddressPractice Location Address
Ralph I Latta, MD
Po Box 1228, 501 N Duquoin,
Benton, IL 62812-5228

Ph: (618) 435-5362		Ralph I Latta, MD
501 N Duquoin,
Benton, IL 62812-5228

Ph: (618) 435-5362

Reviews and Comments


Family Medicine Doctors in Benton, IL

Brian Harrison, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 203 Bailey Ln Ste 1, Benton, IL 62812
Phone: 618-438-5670    Fax: 618-438-5709
Dr. Richard Rethorst, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 201 Bailey Ln, Benton, IL 62812
Phone: 618-439-3161    Fax: 618-435-2969
John D Hartman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 201 Bailey Lane, Benton, IL 62812
Phone: 618-439-3161    Fax: 618-439-4049
Anthony Miksanek, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 203 Bailey Ln, Benton, IL 62812
Phone: 618-438-3621    Fax: 618-438-3622

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.