Mr Dalton Enrico Latham, NP- NURSE PRACTITION in Berrien Springs, MI

Mr Dalton Enrico Latham, NP- NURSE PRACTITION is a medicare enrolled "Nurse Practitioner - Adult Health" in Berrien Springs, Michigan. He graduated from nursing school in 2003 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Pine Ridge Indian Health Service Hospital and his current practice location is 8521 Kephart Lane, Berrien Springs, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 277-3260.

Mr Dalton Enrico Latham is licensed to practice in Michigan (license number 4704211443) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194291179.

Contact Information

	Mr Dalton Enrico Latham, NP- NURSE PRACTITION
	8521 Kephart Lane, Berrien Springs, MI 49103
	(269) 277-3260
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Dalton Enrico Latham
Gender	Male
Speciality	Nurse Practitioner
Experience	22 Years
Location	8521 Kephart Lane, Berrien Springs, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Dalton Enrico Latham graduated from nursing school in 2003

NPI Data:

NPI Number: 1194291179
Provider Enumeration Date: 10/17/2018
Last Update Date: 10/17/2018

Medicare PECOS Information:

PECOS PAC ID: 5991037061
Enrollment ID: I20191023002325

Medical Identifiers

Medical identifiers for Mr Dalton Enrico Latham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194291179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	4704211443 (Michigan)	Primary
363LF0000X	Nurse Practitioner - Family	4704211443 (Michigan)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Monument Health Rapid City Hospital	Rapid city, SD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pine Ridge Indian Health Service Hospital	4688571326	85

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. Mr Dalton Enrico Latham allows following entities to bill medicare on his behalf.

Entity Name	Pine Ridge Indian Health Service Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966

Entity Name	Pine Ridge Indian Health Service Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003963497 PECOS PAC ID: 7214825371 Enrollment ID: O20040309001203

Entity Name	Pine Ridge Indian Health Service Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962559518 PECOS PAC ID: 4688654130 Enrollment ID: O20040723000965

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. Mr Dalton Enrico Latham 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
Mr Dalton Enrico Latham, NP- NURSE PRACTITION 8521 Kephart Lane, Berrien Springs, MI 49103 Ph: (269) 277-3260	Mr Dalton Enrico Latham, NP- NURSE PRACTITION 8521 Kephart Lane, Berrien Springs, MI 49103 Ph: (269) 277-3260

Reviews and Comments

Nurse Practitioner Nurses in Berrien Springs, MI

Marvelyn Elfreda Thompson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8941 N Main St, Berrien Springs, MI 49103 Phone: 268-915-5425
Mrs. Cherie Michelle Wilson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9045 Us Highway 31, Berrien Springs, MI 49103 Phone: 269-473-2222 Fax: 269-473-6880
Joseph Gordon Kaunda, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8841 Meadow Ln, Berrien Springs, MI 49103 Phone: 269-277-7658
Aileen Henri-saturne, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10867 Ridgewood Trl, Berrien Springs, MI 49103 Phone: 770-318-3071
Janet K Adams, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9045 Us Highway 31, Berrien Springs, MI 49103 Phone: 269-473-2222 Fax: 269-473-6880
Linda Song, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9045 Us Highway 31, Berrien Springs, MI 49103 Phone: 269-473-2222

Mr Dalton Enrico Latham, NP- NURSE PRACTITION - Medicare Nurse Practitioner in Berrien Springs, MI