Dr Latresha J Mcbride, MD is a medicare enrolled "Pediatrics" physician in Cleveland, Texas. Her current practice location is
300 E Houston, Ste A, Cleveland, Texas. You can reach out to her office (for appointments etc.) via phone at
(281) 592-9775.
Dr Latresha J Mcbride is licensed to practice in Texas (license number N5851) 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 1255522447.
Physician's Profile
| Full Name | Dr Latresha J Mcbride |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 300 E Houston, Ste A, Cleveland, Texas |
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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: 1255522447
- Provider Enumeration Date: 08/05/2007
- Last Update Date: 12/01/2014
Medicare PECOS Information:
- PECOS PAC ID: 7012151277
- Enrollment ID: I20130910000630
Medical Identifiers
Medical identifiers for Dr Latresha J Mcbride such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255522447 | NPI | - | NPPES |
| 4643414935 | Other | | MYUTMB 4643414935 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | BP1-0029095 (Texas) | Secondary |
| 208000000X | Pediatrics | N5851 (Texas) | 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. Dr Latresha J Mcbride allows following entities to bill medicare on her behalf.
| Entity Name | Calvary Medical Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265568042
PECOS PAC ID: 7719876218
Enrollment ID: O20040312000719 |
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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 Latresha J Mcbride 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 Latresha J Mcbride, MD
108 S William Barnett Ave,
Cleveland, TX 77327
Ph: (281) 659-2355 | Dr Latresha J Mcbride, MD
300 E Houston, Ste A,
Cleveland, TX 77327
Ph: (281) 592-9775 |
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