Dr Dormico Latashia Walker, DNP, MSN-L, PMHNP-BC - Medicare Nurse Practitioner in Santa Clara, CA

  1. Home
  2. Nurse Practitioner
  3. CA
  4. Santa Clara
Dr Dormico Latashia Walker, DNP, MSN-L, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Santa Clara, California. Her current practice location is 4633 Old Ironsides Dr Ste 304, Santa Clara, California. You can reach out to her office (for appointments etc.) via phone at (323) 745-8323.

Dr Dormico Latashia Walker is licensed to practice in Arizona (license number CNP-249922) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841892593.

Contact Information

Dr Dormico Latashia Walker, DNP, MSN-L, PMHNP-BC
4633 Old Ironsides Dr Ste 304,
Santa Clara, CA 95054-1846
(323) 745-8323
Not Available

Map and Direction




Provider's Profile

Full NameDr Dormico Latashia Walker
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location4633 Old Ironsides Dr Ste 304, Santa Clara, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841892593
  • Provider Enumeration Date: 11/09/2020
  • Last Update Date: 09/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3375954480
  • Enrollment ID: I20201120002265

Medical Identifiers

Medical identifiers for Dr Dormico Latashia Walker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841892593NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health RN202021 (Arizona)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health NP95027503 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health CNP-249922 (Arizona)Primary
163WP0807XRegistered Nurse - Psychiatric/mental Health, Child & Adolescent RN95310089 (California)Secondary

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. Dr Dormico Latashia Walker allows following entities to bill medicare on her behalf.
Entity NameDenova Collaborative Health, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609300854
PECOS PAC ID: 2466437736
Enrollment ID: O20040621001542
Entity NameTransitions Center Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821485954
PECOS PAC ID: 6507132016
Enrollment ID: O20171030000289
Entity NameAhwatukee Health Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053803676
PECOS PAC ID: 8224383906
Enrollment ID: O20180814001316

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. Dr Dormico Latashia Walker 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
Dr Dormico Latashia Walker, DNP, MSN-L, PMHNP-BC
3101 N Central Ave Ste 550,
Phoenix, AZ 85012-2635

Ph: (602) 230-7373		Dr Dormico Latashia Walker, DNP, MSN-L, PMHNP-BC
4633 Old Ironsides Dr Ste 304,
Santa Clara, CA 95054-1846

Ph: (323) 745-8323

Reviews and Comments


Nurse Practitioner Nurses in Santa Clara, CA

Mrs. Sharlene Junio Madanes, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051
Phone: 408-851-3829    Fax: 408-851-3872
Alejandra Lorena Lecaros, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051
Phone: 408-851-1000    
Mrs. Diana Bainbridge, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054
Phone: 323-205-7088    Fax: 833-419-0181
Parvin Suliamani,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2441 Mission College Blvd, Santa Clara, CA 95054
Phone: 408-720-6688    Fax: 408-720-6644
Ja Young Kim, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2734 El Camino Real, Santa Clara, CA 95051
Phone: 408-241-3801    
Jacqueline E Trammell, RN, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 710 Lawrence Expy, Department 342, Santa Clara, CA 95051
Phone: 408-851-3828    Fax: 408-851-3872
Mr. Erick Michael Pierce, RN, NP, CRNA
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051
Phone: 408-851-6012    

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.