Dr Mariam Lantin Abdul-latif, MD in Orange, CA

Dr Mariam Lantin Abdul-latif, MD is a medicare enrolled "Pediatrics" physician in Orange, California. Her current practice location is 101 The City Dr S, Bldg 56, Ste 600, Zot 4490, Orange, California. You can reach out to her office (for appointments etc.) via phone at (714) 456-6920.

Dr Mariam Lantin Abdul-latif is licensed to practice in California (license number A122693) 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 1538418884.

Contact Information

	Dr Mariam Lantin Abdul-latif, MD
	101 The City Dr S, Bldg 56, Ste 600, Zot 4490, Orange, CA 92868-3201
	(714) 456-6920
	(714) 456-7658

Map and Direction

Physician's Profile

Full Name	Dr Mariam Lantin Abdul-latif
Gender	Female
Speciality	Pediatrics
Location	101 The City Dr S, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538418884
Provider Enumeration Date: 09/02/2012
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 4880905371
Enrollment ID: I20150624003286

Medical Identifiers

Medical identifiers for Dr Mariam Lantin Abdul-latif such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538418884	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A122693 (California)	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 Mariam Lantin Abdul-latif allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Mariam Lantin Abdul-latif 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 Mariam Lantin Abdul-latif, MD 101 The City Dr S, Bldg 56, Ste 600, Zot 4490, Orange, CA 92868-3201 Ph: (714) 456-6920	Dr Mariam Lantin Abdul-latif, MD 101 The City Dr S, Bldg 56, Ste 600, Zot 4490, Orange, CA 92868-3201 Ph: (714) 456-6920

Reviews and Comments

Pediatrics Doctors in Orange, CA

Pei Lin Chang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-558-2462
Antoine Soliman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-289-4511 Fax: 714-289-4788
Dr. Jeffrey H Ho, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-289-4099 Fax: 714-289-4063
Dr. Marita Fortades, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-532-8767 Fax: 714-289-4551
Dr. Daina Dreimane, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1201 W La Veta Ave, Orange, CA 92868 Phone: 888-770-2462 Fax: 855-246-2329
Dr. Sharief Khalil Taraman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 W La Veta Ave, Children's Hospital Of Orange County, Neurology, Orange, CA 92868 Phone: 714-509-7601 Fax: 855-246-2329
Dr. Terrie E Inder, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1201 W La Veta Ave, Orange, CA 92868 Phone: 714-509-8147

Dr Mariam Lantin Abdul-latif, MD - Medicare Pediatrics in Orange, CA