Dr Diana Hristine Latinow, DDS is a medicare enrolled "Dentist" provider in Gettysburg, South Dakota. Her current practice location is
105 E Blaine Ave, Gettysburg, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(650) 765-9674.
Dr Diana Hristine Latinow is licensed to practice in South Dakota (license number D0902) 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 1386838589.
Healthcare Provider's Profile
| Full Name | Dr Diana Hristine Latinow |
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| Gender | Female |
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| Speciality | Dentist |
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| Location | 105 E Blaine Ave, Gettysburg, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386838589
- Provider Enumeration Date: 08/30/2007
- Last Update Date: 03/27/2015
Medicare PECOS Information:
- PECOS PAC ID: 3072807197
- Enrollment ID: I20160811001182
Medical Identifiers
Medical identifiers for Dr Diana Hristine Latinow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386838589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DE0010920 (Washington) | Secondary |
| 122300000X | Dentist | D0902 (South Dakota) | Primary |
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 Diana Hristine Latinow 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 |
|---|
Dr Diana Hristine Latinow, DDS
105 E Blaine Ave,
Gettysburg, SD 57442-1167
Ph: (605) 765-9674 | Dr Diana Hristine Latinow, DDS
105 E Blaine Ave,
Gettysburg, SD 57442-1167
Ph: (650) 765-9674 |
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