Desiree Latori Watkins, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Louisville, Kentucky. Her current practice location is
3920 Dutchmans Ln Ste 315, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 367-4500.
Desiree Latori Watkins is licensed to practice in Kentucky (license number 3015841) 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 1407631252.
Physician's Profile
| Full Name | Desiree Latori Watkins |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3920 Dutchmans Ln Ste 315, Louisville, Kentucky |
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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: 1407631252
- Provider Enumeration Date: 08/29/2023
- Last Update Date: 11/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941658454
- Enrollment ID: I20231122000479
Medical Identifiers
Medical identifiers for Desiree Latori Watkins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407631252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 3015841 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3015841 (Kentucky) | 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. Desiree Latori Watkins allows following entities to bill medicare on her behalf.
| Entity Name | University Of Louisville Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366722316
PECOS PAC ID: 3476725599
Enrollment ID: O20111017000036 |
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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. Desiree Latori Watkins 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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Desiree Latori Watkins, APRN
Po Box 909,
Louisville, KY 40201-0909
Ph: (502) 367-4500 | Desiree Latori Watkins, APRN
3920 Dutchmans Ln Ste 315,
Louisville, KY 40207-4702
Ph: (502) 367-4500 |
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