Latrece Holloway, in Independence, MO - Medicare Registered Nurse

Latrece Holloway, is a medicare enrolled "Registered Nurse" in Independence, Missouri. Her current practice location is 19600 E 39th St S, Independence, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 462-7612.

Latrece Holloway is licensed to practice in Missouri (license number 2010038006) 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 1770948234.

Contact Information

	Latrece Holloway,
	19600 E 39th St S, Independence, MO 64057-2301
	(816) 462-7612
	Not Available

Map and Direction

Provider's Profile

Full Name	Latrece Holloway
Gender	Female
Speciality	Registered Nurse
Location	19600 E 39th St S, Independence, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770948234
Provider Enumeration Date: 12/28/2015
Last Update Date: 12/28/2015

Medicare PECOS Information:

PECOS PAC ID: 8729370515
Enrollment ID: I20160715000156

Medical Identifiers

Medical identifiers for Latrece Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770948234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2010038006 (Missouri)	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. Latrece Holloway allows following entities to bill medicare on her behalf.

Entity Name	Emergency Medicine Services Of Mo Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023715182 PECOS PAC ID: 1951766559 Enrollment ID: O20230710001430

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. Latrece Holloway 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
Latrece Holloway, 3338 S Norwood Ave, Independence, MO 64052-2724 Ph: (816) 462-7612	Latrece Holloway, 19600 E 39th St S, Independence, MO 64057-2301 Ph: (816) 462-7612

Reviews and Comments

Registered Nurse Nurses in Independence, MO

Mrs. Melinda Stegner, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3445 South 291 Hwy, Ste 300, Independence, MO 64050 Phone: 816-795-1968
Rebecca Medlin, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 25201 East 78 Hwy, Independence, MO 64056 Phone: 816-796-7307 Fax: 816-796-7305
Meghan Shay Vaughan, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 816-698-7000
Sabra Leanne Love, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 25201 E 78 Hwy, Independence, MO 64056 Phone: 816-796-7307 Fax: 816-796-7305
Jamie Nelson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4611 S Eastland Center Dr Apt 612, Independence, MO 64055 Phone: 260-797-8772
Mrs. Cheri Lynne Wyatt, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1114 S Butler Ln, Independence, MO 64056 Phone: 816-665-5398
Drew Arnold, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3205 N Twyman Rd, Independence, MO 64058 Phone: 816-750-1813

Latrece Holloway, - Medicare Registered Nurse in Independence, MO