Timothy A Lattimore, NURSE PRACTITIONER in Orange Park, FL

Timothy A Lattimore, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Orange Park, Florida. His current practice location is 1594 Kingsley Ave, Orange Park, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 264-8621.

Timothy A Lattimore is licensed to practice in Florida (license number APRN11002945) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699326439.

Contact Information

	Timothy A Lattimore, NURSE PRACTITIONER
	1594 Kingsley Ave, Orange Park, FL 32073-4546
	(904) 264-8621
	Not Available

Map and Direction

Provider's Profile

Full Name	Timothy A Lattimore
Gender	Male
Speciality	Nurse Practitioner
Location	1594 Kingsley Ave, Orange Park, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699326439
Provider Enumeration Date: 09/23/2019
Last Update Date: 09/27/2019

Medicare PECOS Information:

PECOS PAC ID: 9335577170
Enrollment ID: I20200310001699

Medical Identifiers

Medical identifiers for Timothy A Lattimore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699326439	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11002945 (Florida)	Secondary
363L00000X	Nurse Practitioner	APRN11002945 (Florida)	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. Timothy A Lattimore allows following entities to bill medicare on his behalf.

Entity Name	Memorial Family Practice Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598869844 PECOS PAC ID: 8820003411 Enrollment ID: O20060220000077

Entity Name	Jacksonville Carenow Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447771670 PECOS PAC ID: 6800158544 Enrollment ID: O20180319000032

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. Timothy A 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
Timothy A Lattimore, NURSE PRACTITIONER 3616 Morning Meadow Ln, Orange Park, FL 32073-7602 Ph: (904) 655-1153	Timothy A Lattimore, NURSE PRACTITIONER 1594 Kingsley Ave, Orange Park, FL 32073-4546 Ph: (904) 264-8621

Reviews and Comments

Nurse Practitioner Nurses in Orange Park, FL

Diana Lynn Bridges, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500
Ms. Shara Lanecia Mcphall, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 239-223-2751
Benjamin A Debski, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1996 Kingsley Ave, Orange Park, FL 32073 Phone: 904-276-5700 Fax: 904-272-1474
Amonae Danyel Russell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Mistwood Ct, Orange Park, FL 32065 Phone: 803-830-0541
Heather Michelle Wade, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 421 Kingsley Ave Ste 300, Orange Park, FL 32073 Phone: 904-621-0643 Fax: 904-621-0644
Gregg Steven Halverson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 904-458-7780
Erica Waters, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1279 Kingsley Ave Ste 102, Orange Park, FL 32073 Phone: 904-604-9914 Fax: 629-600-6769

Timothy A Lattimore, NURSE PRACTITIONER - Medicare Nurse Practitioner in Orange Park, FL