Latisha Marie Clark, APRN - Medicare Nurse Practitioner in Houston, TX

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Latisha Marie Clark, APRN is a medicare enrolled "Nurse Practitioner" in Houston, Texas. Her current practice location is 5760 W Little York Rd, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 934-0092.

Latisha Marie Clark is licensed to practice in Texas (license number 1085990) 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 1700590320.

Contact Information

Latisha Marie Clark, APRN
5760 W Little York Rd,
Houston, TX 77091-1112
(281) 934-0092
Not Available

Map and Direction




Provider's Profile

Full NameLatisha Marie Clark
GenderFemale
SpecialityNurse Practitioner
Location5760 W Little York Rd, Houston, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700590320
  • Provider Enumeration Date: 01/09/2023
  • Last Update Date: 03/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234502923
  • Enrollment ID: I20230228001026

Medical Identifiers

Medical identifiers for Latisha Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700590320NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1085990 (Texas)Secondary
363L00000XNurse Practitioner 1085990 (Texas)Primary

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. Latisha Marie Clark allows following entities to bill medicare on her behalf.
Entity NameWoodlands Lone Star Emergency Physicians Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679994941
PECOS PAC ID: 5294057444
Enrollment ID: O20141125002147
Entity NameThe Urgent Care Associates Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235539933
PECOS PAC ID: 1355665795
Enrollment ID: O20150113002159
Entity NameOak Street Health Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497387419
PECOS PAC ID: 2163843038
Enrollment ID: O20200601001767

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. Latisha Marie Clark 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
Latisha Marie Clark, APRN
5760 W Little York Rd,
Houston, TX 77091-1112

Ph: (281) 934-0092		Latisha Marie Clark, APRN
5760 W Little York Rd,
Houston, TX 77091-1112

Ph: (281) 934-0092

Reviews and Comments


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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.