Craig Larry Lathen, FNP is a medicare enrolled "Nurse Practitioner" in Owyhee, Nevada. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Shoshone-paiute Tribes and his current practice location is
1623 Hospital Loop, Owyhee, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 757-2415.
Craig Larry Lathen is licensed to practice in Idaho (license number 55861) 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 1962265199.
Provider's Profile
| Full Name | Craig Larry Lathen |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 1623 Hospital Loop, Owyhee, Nevada |
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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:
- Craig Larry Lathen graduated from nursing school in 2022
NPI Data:
- NPI Number: 1962265199
- Provider Enumeration Date: 01/31/2024
- Last Update Date: 01/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709324106
- Enrollment ID: I20240816000944
Medical Identifiers
Medical identifiers for Craig Larry Lathen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962265199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 55861 (Idaho) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Shoshone-paiute Tribes | 5092871889 | 10 |
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. Craig Larry Lathen allows following entities to bill medicare on his behalf.
| Entity Name | Shoshone-paiute Tribes |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528230224
PECOS PAC ID: 5092871889
Enrollment ID: O20100812000813 |
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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. Craig Larry Lathen 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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Craig Larry Lathen, FNP
Po Box 116,
Mountain City, NV 89831-0116
Ph: (208) 851-2472 | Craig Larry Lathen, FNP
1623 Hospital Loop,
Owyhee, NV 89832-1200
Ph: (775) 757-2415 |
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