Latonya Brailsford, NP in Columbia, SC - Medicare Nurse Practitioner

Latonya Brailsford, NP is a medicare enrolled "Nurse Practitioner - Family" in Columbia, South Carolina. Her current practice location is 4605 Monticello Rd Ste 2, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 753-5590.

Latonya Brailsford is licensed to practice in South Carolina (license number 26158) 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 1003205808.

Contact Information

	Latonya Brailsford, NP
	4605 Monticello Rd Ste 2, Columbia, SC 29203-4156
	(803) 753-5590
	(803) 753-5592

Map and Direction

Provider's Profile

Full Name	Latonya Brailsford
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4605 Monticello Rd Ste 2, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003205808
Provider Enumeration Date: 01/16/2015
Last Update Date: 03/23/2023

Medicare PECOS Information:

PECOS PAC ID: 0547637258
Enrollment ID: I20221109003523

Medical Identifiers

Medical identifiers for Latonya Brailsford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003205808	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26158 (South Carolina)	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. Latonya Brailsford allows following entities to bill medicare on her behalf.

Entity Name	Eau Claire Cooperative Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346249430 PECOS PAC ID: 3274434220 Enrollment ID: O20040114000335

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. Latonya Brailsford 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
Latonya Brailsford, NP 142 Whispering Pines Cir, Columbia, SC 29205-4945 Ph: (803) 351-9405	Latonya Brailsford, NP 4605 Monticello Rd Ste 2, Columbia, SC 29203-4156 Ph: (803) 753-5590

Reviews and Comments

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Mr. Joseph Crawford Iii, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203 Phone: 803-256-6511
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Jenny O'neill, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Arbor Lake Dr, Suite 120, Columbia, SC 29223 Phone: 803-457-8125 Fax: 803-457-8129
Sarah Elizabeth Wilson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203 Phone: 803-434-3950 Fax: 803-434-3496
Miss Karen Mccain, NURSE PRACTITONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909

Latonya Brailsford, NP - Medicare Nurse Practitioner in Columbia, SC