Shantel Latta, FNP-C - Medicare Nurse Practitioner in Blackstone, VA

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Shantel Latta, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Blackstone, Virginia. Her current practice location is 103 E Broad St, Blackstone, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 264-3221.

Shantel Latta is licensed to practice in Virginia (license number 0024180790) 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 1962092932.

Contact Information

Shantel Latta, FNP-C
103 E Broad St,
Blackstone, VA 23824-1815
(434) 264-3221
Not Available

Map and Direction




Provider's Profile

Full NameShantel Latta
GenderFemale
SpecialityNurse Practitioner - Family
Location103 E Broad St, Blackstone, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962092932
  • Provider Enumeration Date: 01/22/2021
  • Last Update Date: 12/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254727290
  • Enrollment ID: I20220331000916

Medical Identifiers

Medical identifiers for Shantel Latta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962092932NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024180790 (Virginia)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. Shantel Latta allows following entities to bill medicare on her behalf.
Entity NameLegacy Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902149776
PECOS PAC ID: 0042458200
Enrollment ID: O20130529000542
Entity NameLittle Clinic Of Va Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225440076
PECOS PAC ID: 2961620596
Enrollment ID: O20140824000049
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210226002383
Entity NameCounty Med, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407580483
PECOS PAC ID: 4082083928
Enrollment ID: O20221215000538
Entity NameLegacy Care Aco Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538844857
PECOS PAC ID: 3274996426
Enrollment ID: O20230906000290

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. Shantel Latta 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
Shantel Latta, FNP-C
Po Box 635,
Blackstone, VA 23824-0635

Ph: () -		Shantel Latta, FNP-C
103 E Broad St,
Blackstone, VA 23824-1815

Ph: (434) 264-3221

Reviews and Comments


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Phone: 757-310-3925    Fax: 949-863-5677
Allison Noel Lee, NP
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Practice Location: 1037 Daniel Rd, Blackstone, VA 23824
Phone: 540-931-6576    
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Practice Location: 213 N Main St, Blackstone, VA 23824
Phone: 434-292-7261    Fax: 434-292-7965

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.