Dr Edward E Latham Jr, PHD - Medicare Psychologist in Kingsport, TN

Dr Edward E Latham Jr, PHD is a medicare enrolled "Psychologist - Clinical" provider in Kingsport, Tennessee. His current practice location is 404 E Market St, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 392-6898.

Dr Edward E Latham Jr is licensed to practice in Tennessee (license number P1405) 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 1851439988.

Contact Information

Dr Edward E Latham Jr, PHD
404 E Market St,
Kingsport, TN 37660-4828
(423) 392-6898
(423) 392-6900

Map and Direction




Healthcare Provider's Profile

Full NameDr Edward E Latham Jr
GenderMale
SpecialityPsychologist - Clinical
Location404 E Market St, Kingsport, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851439988
  • Provider Enumeration Date: 02/01/2007
  • Last Update Date: 01/24/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4981852852
  • Enrollment ID: I20120918000738

Medical Identifiers

Medical identifiers for Dr Edward E Latham Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851439988NPI-NPPES
132696OtherTNVALUE OPTIONS
1437005OtherTNUMWA
063454OtherTNBCBS VA
0099539OtherTNBCBSTN
6109533OtherTNUNITED HEALTHCARE
9213176OtherTNPHCS
241583000OtherTNMAGELLAN
4418397OtherTNAETNA
4067035OtherTNBCBSTN-MEDICAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TA0400XPsychologist - Addiction (substance Use Disorder) P1405 (Tennessee)Secondary
103TA0700XPsychologist - Adult Development & Aging P1405 (Tennessee)Secondary
103TC0700XPsychologist - Clinical P1405 (Tennessee)Primary
103T00000XPsychologist P1405 (Tennessee)Secondary
103TP2701XPsychologist - Group Psychotherapy P1405 (Tennessee)Secondary

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 Edward E Latham Jr 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
Dr Edward E Latham Jr, PHD
404 E Market St,
Kingsport, TN 37660-4828

Ph: (423) 392-6898
Dr Edward E Latham Jr, PHD
404 E Market St,
Kingsport, TN 37660-4828

Ph: (423) 392-6898

Reviews and Comments


Psychologist in Kingsport, TN

Dr. Thomas J Burns, PH.D.
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Practice Location: 108 E Main St, Ste 210a, Kingsport, TN 37660
Phone: 423-392-6898    Fax: 423-392-6900
Dr. Rebecca Carolyn Otwell-dove, PHD
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Phone: 423-530-7970    
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Phone: 423-224-1318    Fax: 423-224-1328
Ladonna Selby Carey, MA
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Practice Location: 1201 N Eastman Rd, Ste 122, Kingsport, TN 37664
Phone: 423-230-0909    Fax: 423-357-7755
Mr. Michael Wayne Miller, LPE
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Practice Location: 1570 Waverly Rd, Kingsport, TN 37664
Phone: 423-224-1300    Fax: 423-224-1375
Julia Wallin Culligan, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1244 Catawba St, Kingsport, TN 37660
Phone: 423-857-5571    Fax: 423-857-5237
Mr. Jorge Federico Fuchs, MA SPF
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Medicare: Not Enrolled in Medicare
Practice Location: 2001 Stonebrook Place, Kingsport, TN 37660
Phone: 423-224-1318    Fax: 423-224-1328

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.