Dr William R Latreille Jr, MD is a medicare enrolled "Internal Medicine" physician in Hogansburg, New York. He graduated from medical school in 1971 and has 53 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Alice Hyde Medical Center, St Regis Mohawk Tribe and his current practice location is
412 State Route 37, Hogansburg, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 358-3141.
Dr William R Latreille Jr is licensed to practice in New York (license number 142278) 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 1508885716.
Physician's Profile
Full Name | Dr William R Latreille Jr |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 53 Years |
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Location | 412 State Route 37, Hogansburg, New York |
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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 William R Latreille Jr graduated from medical school in 1971
NPI Data:
- NPI Number: 1508885716
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 03/15/2012
Medicare PECOS Information:
- PECOS PAC ID: 4284696170
- Enrollment ID: I20041102001106
Medical Identifiers
Medical identifiers for Dr William R Latreille Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508885716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 142278 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Alice Hyde Medical Center | 4082525837 | 53 |
St Regis Mohawk Tribe | 5799748547 | 9 |
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 William R Latreille Jr allows following entities to bill medicare on his behalf.
Entity Name | Alice Hyde Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114954682 PECOS PAC ID: 4082525837 Enrollment ID: O20031126000357 |
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Entity Name | St Regis Mohawk Tribe |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457344558 PECOS PAC ID: 5799748547 Enrollment ID: O20041111000764 |
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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 William R Latreille Jr 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 William R Latreille Jr, MD 412 State Route 37, Hogansburg, NY 13655-3109 Ph: (518) 358-3141 | Dr William R Latreille Jr, MD 412 State Route 37, Hogansburg, NY 13655 Ph: (518) 358-3141 |
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