Dr Bruce V Lattyak, MD is a medicare enrolled "Plastic Surgery" physician in Grass Valley, California. He went to University Of California, San Francisco School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Bruce V Lattyak Md Inc and his current practice location is
300 Sierra College Dr Ste 240, Grass Valley, California. You can reach out to his office (for appointments etc.) via phone at
(530) 273-3400.
Dr Bruce V Lattyak is licensed to practice in California (license number A62583) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629245238.
Physician's Profile
Full Name | Dr Bruce V Lattyak |
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Gender | Male |
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Speciality | Plastic And Reconstructive Surgery |
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Experience | 29 Years |
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Location | 300 Sierra College Dr Ste 240, Grass Valley, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Bruce V Lattyak attended and graduated from University Of California, San Francisco School Of Medicine in 1995
NPI Data:
- NPI Number: 1629245238
- Provider Enumeration Date: 05/13/2008
- Last Update Date: 08/29/2019
Medicare PECOS Information:
- PECOS PAC ID: 6002976107
- Enrollment ID: I20081119000510
Medical Identifiers
Medical identifiers for Dr Bruce V Lattyak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629245238 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | A62583 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Bruce V Lattyak Md Inc | 2466514245 | 2 |
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 Bruce V Lattyak allows following entities to bill medicare on his behalf.
Entity Name | Bruce V Lattyak Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275707424 PECOS PAC ID: 2466514245 Enrollment ID: O20090105000284 |
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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 Bruce V Lattyak 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 Bruce V Lattyak, MD 300 Sierra College Dr Ste 240, Grass Valley, CA 95945-5086 Ph: (530) 273-3400 | Dr Bruce V Lattyak, MD 300 Sierra College Dr Ste 240, Grass Valley, CA 95945-5086 Ph: (530) 273-3400 |
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