Latiere Wallace, APRN - Medicare Nurse Practitioner in Dade City, FL

  1. Home
  2. Nurse Practitioner
  3. FL
  4. Dade City
Latiere Wallace, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Dade City, Florida. Her current practice location is 14527 7th St, Dade City, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 521-1474.

Latiere Wallace is licensed to practice in Florida (license number 11023599) 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 1518673854.

Contact Information

Latiere Wallace, APRN
14527 7th St,
Dade City, FL 33523-3102
(352) 521-1474
Not Available

Map and Direction




Provider's Profile

Full NameLatiere Wallace
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location14527 7th St, Dade City, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518673854
  • Provider Enumeration Date: 01/30/2023
  • Last Update Date: 05/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254706732
  • Enrollment ID: I20230414001560

Medical Identifiers

Medical identifiers for Latiere Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518673854NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 11023599 (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. Latiere Wallace allows following entities to bill medicare on her behalf.
Entity NameBaycare Behavioral Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225312549
PECOS PAC ID: 4688649122
Enrollment ID: O20040830000131

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. Latiere Wallace 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
Latiere Wallace, APRN
5222 Blue Roan Way,
Wesley Chapel, FL 33544-1829

Ph: (727) 510-5070		Latiere Wallace, APRN
14527 7th St,
Dade City, FL 33523-3102

Ph: (352) 521-1474

Reviews and Comments


Nurse Practitioner Nurses in Dade City, FL

Dorothy R Budetti, A.R.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 13941 15th St, Dade City, FL 33525
Phone: 352-521-1450    Fax: 352-523-6910
Kirsten T Rhoden, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13417 Us Highway 301 Ste B, Dade City, FL 33525
Phone: 352-521-3967    
Jessica Lynn Faber, PMNHP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14527 7th St, Dade City, FL 33523
Phone: 352-521-1474    
Mrs. Terri Lynn Jones, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12880 Us Highway 301, Dade City, FL 33525
Phone: 352-567-3325    Fax: 352-567-3385
Barbara Rose Muniz, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 13417 Us Highway 301 Ste D, Dade City, FL 33525
Phone: 352-567-8640    Fax: 813-355-5027
Salam N Abdo, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14027 5th St, Dade City, FL 33525
Phone: 352-518-2000    
Jennifer Lynn Cowherd, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 37944 Church Ave, Dade City, FL 33525
Phone: 352-518-2000    Fax: 352-567-0218

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.