Dr Latasha Walters Koszewnik, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Morgan Hill, California. She went to Temple University School Of Medicine and graduated in 2008 and has 17 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Bay Area Foot And Ankle Centers Inc and her current practice location is
610 Encino Dr, Morgan Hill, California. You can reach out to her office (for appointments etc.) via phone at
(619) 920-8425.
Dr Latasha Walters Koszewnik is licensed to practice in California (license number E5003) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417103961.
Healthcare Provider's Profile
| Full Name | Dr Latasha Walters Koszewnik |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 17 Years |
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| Location | 610 Encino Dr, Morgan Hill, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Latasha Walters Koszewnik attended and graduated from Temple University School Of Medicine in 2008
NPI Data:
- NPI Number: 1417103961
- Provider Enumeration Date: 08/15/2008
- Last Update Date: 08/18/2015
Medicare PECOS Information:
- PECOS PAC ID: 6406033935
- Enrollment ID: I20121025000687
Medical Identifiers
Medical identifiers for Dr Latasha Walters Koszewnik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417103961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 5901002304 (Michigan) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E5003 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bay Area Foot And Ankle Centers Inc | 0941509491 | 4 |
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. Dr Latasha Walters Koszewnik allows following entities to bill medicare on her behalf.
| Provider Name | Bay Area Foot And Ankle Centers Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1205204229
PECOS PAC ID: 0941509491
Enrollment ID: O20160504001855 |
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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. Dr Latasha Walters Koszewnik 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 |
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Dr Latasha Walters Koszewnik, DPM
610 Encino Dr.,
Morgan Hill, CA 95037
Ph: (619) 920-8425 | Dr Latasha Walters Koszewnik, DPM
610 Encino Dr,
Morgan Hill, CA 95037-5704
Ph: (619) 920-8425 |
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