Latasha Wiley, - Medicare Nurse Practitioner in Jacksonville, FL

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Latasha Wiley, is a medicare enrolled "Nurse Practitioner - Primary Care" in Jacksonville, Florida. Her current practice location is 11698 Alexandra Dr, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 598-4229.

Latasha Wiley is licensed to practice in Florida (license number APRN11005781) 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 1821628207.

Contact Information

Latasha Wiley,
11698 Alexandra Dr,
Jacksonville, FL 32218-8874
(904) 598-4229
Not Available

Map and Direction




Provider's Profile

Full NameLatasha Wiley
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location11698 Alexandra Dr, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821628207
  • Provider Enumeration Date: 01/24/2020
  • Last Update Date: 01/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8527498112
  • Enrollment ID: I20200422002405

Medical Identifiers

Medical identifiers for Latasha Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821628207NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care APRN11005781 (Florida)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. Latasha Wiley allows following entities to bill medicare on her behalf.
Entity NameRmed Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508815358
PECOS PAC ID: 6608768411
Enrollment ID: O20040326000760
Entity NameMetro Infectious Disease Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235125717
PECOS PAC ID: 3072425784
Enrollment ID: O20160725002739
Entity NameNurse Practitioner Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780121277
PECOS PAC ID: 6002230778
Enrollment ID: O20230106000032
Entity NameWiley's Cove
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205669546
PECOS PAC ID: 6204361884
Enrollment ID: O20241119002923
Entity NameEon Care Clinicians, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073332490
PECOS PAC ID: 1052833951
Enrollment ID: O20250424002093

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. Latasha Wiley 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
Latasha Wiley,
11698 Alexandra Dr,
Jacksonville, FL 32218-8874

Ph: (904) 598-4229		Latasha Wiley,
11698 Alexandra Dr,
Jacksonville, FL 32218-8874

Ph: (904) 598-4229

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.