| Brent Joseph Lataille, ARNP | |
|
3500 Oak Manor Ln, Largo, FL 33774-1211 | |
| (727) 488-5915 | |
| Not Available |
| Full Name | Brent Joseph Lataille |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 3500 Oak Manor Ln, Largo, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598202814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP 9261217 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Home Care Of Pinellas Inc | Tarpon springs, FL | Home health agency |
| Encompass Health Home Health | Clearwater, FL | Home health agency |
| Hygeia Home Health Llc | Largo, FL | Home health agency |
| Fusion Healthcare | Clearwater, FL | Home health agency |
| Kr At College Harbor | Saint petersburg, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Value Based Long Term Care F Pc | 2769922731 | 17 |
| Legacy Health Medical Group, Llc | 5193962173 | 16 |
| Entity Name | Legacy Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881942779 PECOS PAC ID: 5193962173 Enrollment ID: O20130510000372 |
| Entity Name | Careconnectmd Florida P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912632886 PECOS PAC ID: 7911389838 Enrollment ID: O20220809000521 |
| Entity Name | Value Based Long Term Care F Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831921360 PECOS PAC ID: 2769922731 Enrollment ID: O20250527003461 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Joseph Lataille, ARNP 13541 87th Pl, Seminole, FL 33776-2615 Ph: (727) 488-5915 | Brent Joseph Lataille, ARNP 3500 Oak Manor Ln, Largo, FL 33774-1211 Ph: (727) 488-5915 |
Cassandra Hoffman, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Clearwater Largo Rd N, Largo, FL 33770 Phone: 727-518-6444 | |
Deborah Janavs, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5222 Fax: 727-588-5458 | |
Sandra Vigo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5200 | |
Radica Singh, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13670 Walsingham Rd, Largo, FL 33774 Phone: 727-593-9848 Fax: 727-596-4532 | |
Ms. Maxine Pittaway Bosko, MSN, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6560 Ulmerton Rd, Largo, FL 33771 Phone: 813-915-5459 Fax: 727-303-3360 | |
Alyssa Marie King Ewald, DNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12224 70th St, Largo, FL 33773 Phone: 727-434-1377 | |
Adissa O. Perez, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Highland Ave N, Largo, FL 33770 Phone: 727-683-2900 Fax: 727-683-2901 |