Mrs Kippi Denise Lattimore, FNP-C in Graham, TX

Mrs Kippi Denise Lattimore, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Graham, Texas. Her current practice location is 820 Montgomery Rd Ste 202, Graham, Texas. You can reach out to her office (for appointments etc.) via phone at (940) 549-7741.

Mrs Kippi Denise Lattimore is licensed to practice in Texas (license number 1001888) 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 1710502620.

Contact Information

	Mrs Kippi Denise Lattimore, FNP-C
	820 Montgomery Rd Ste 202, Graham, TX 76450-4200
	(940) 549-7741
	(940) 549-6265

Map and Direction

Provider's Profile

Full Name	Mrs Kippi Denise Lattimore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	820 Montgomery Rd Ste 202, Graham, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710502620
Provider Enumeration Date: 06/16/2020
Last Update Date: 07/06/2020

Medicare PECOS Information:

PECOS PAC ID: 1557710282
Enrollment ID: I20231206004276

Medical Identifiers

Medical identifiers for Mrs Kippi Denise Lattimore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710502620	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1001888 (Texas)	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. Mrs Kippi Denise Lattimore allows following entities to bill medicare on her behalf.

Entity Name	Graham Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972950467 PECOS PAC ID: 8123246469 Enrollment ID: O20161229000390

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. Mrs Kippi Denise Lattimore 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
Mrs Kippi Denise Lattimore, FNP-C 421 Timber Ridge Lake Rd, Graham, TX 76450-1433 Ph: (940) 452-7590	Mrs Kippi Denise Lattimore, FNP-C 820 Montgomery Rd Ste 202, Graham, TX 76450-4200 Ph: (940) 549-7741

Reviews and Comments

Nurse Practitioner Nurses in Graham, TX

Samantha Purdy, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 State Highway 16 S, Graham, TX 76450 Phone: 940-282-2512
Catherine Feist, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 820 Montgomery Rd Ste 202, Graham, TX 76450 Phone: 940-549-7741
Kimberlee Davis, WHC-NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 820 Montgomery Rd, Suite 203, Graham, TX 76450 Phone: 942-546-8505 Fax: 940-549-8522
Leah B Smith, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1339 East St, Graham, TX 76450 Phone: 940-521-5500 Fax: 940-521-5511
Teresa Mcguinness, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1339 East St, Graham, TX 76450 Phone: 940-521-5500
Rachael Kate Creel, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 State Highway 16 S, Graham, TX 76450 Phone: 940-282-2512 Fax: 940-521-9139
Joseph Lefiever Clark Iv, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 618 Oak St, Graham, TX 76450 Phone: 940-549-6953 Fax: 940-294-9913

Mrs Kippi Denise Lattimore, FNP-C - Medicare Nurse Practitioner in Graham, TX