Mr Keith Latasiewicz, DNP-CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jacksonville, FL

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Mr Keith Latasiewicz, DNP-CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Florida. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Physician Solutions Of North Florida Llc and his current practice location is 4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (190) 495-3200.

Mr Keith Latasiewicz is licensed to practice in Florida (license number APRN11005942) 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 1639709173.

Contact Information

Mr Keith Latasiewicz, DNP-CRNA
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865
(190) 495-3200
Not Available

Map and Direction




Provider's Profile

Full NameMr Keith Latasiewicz
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience5 Years
Location4500 San Pablo Rd S, Jacksonville, Florida
Accepts Medicare AssignmentsYes. 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 Keith Latasiewicz graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1639709173
  • Provider Enumeration Date: 01/23/2020
  • Last Update Date: 07/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4284062993
  • Enrollment ID: I20200312000075

Medical Identifiers

Medical identifiers for Mr Keith Latasiewicz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639709173NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered APRN11005942 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fort Walton Beach Medical CenterFort walton beach, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Physician Solutions Of North Florida Llc5597066001253

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 Keith Latasiewicz allows following entities to bill medicare on his behalf.
Entity NameSheridan Healthcorp Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629781711
PECOS PAC ID: 3173429693
Enrollment ID: O20031208000355
Entity NameUs Anesthesia Partners Of Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518910520
PECOS PAC ID: 0345143152
Enrollment ID: O20040129000594
Entity NameAnesthesia Physician Solutions Of North Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164932901
PECOS PAC ID: 5597066001
Enrollment ID: O20151228002033

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 Keith Latasiewicz 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
Mr Keith Latasiewicz, DNP-CRNA
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (904) 953-2000		Mr Keith Latasiewicz, DNP-CRNA
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (190) 495-3200

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Jacksonville, FL

Crystal Lynn, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Lauren E Freed, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Dr. Sarah Anne Piscitello, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Shircliff Way, Jacksonville, FL 32204
Phone: 904-477-5855    
Kristina Schneider, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Mr. Bruce Anthony Wilburn, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2165 Herschel St, Jacksonville, FL 32204
Phone: 904-387-1220    
Tabitha Jay Barrett, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Shircliff Way, Jacksonville, FL 32204
Phone: 954-939-5216    
Kristin Denise Brown,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    

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.