Johan Latorre, MD, MS in Birmingham, AL - Medicare Physical Medicine & Rehabilitation

Johan Latorre, MD, MS is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in Birmingham, Alabama. His current practice location is Src 190 1717 6th Ave S, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 975-8298.

Johan Latorre is licensed to practice in Michigan (license number 4351026956) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053842112.

Contact Information

	Johan Latorre, MD, MS
	Src 190 1717 6th Ave S, Birmingham, AL 35294-0001
	(205) 975-8298
	Not Available

Map and Direction

Physician's Profile

Full Name	Johan Latorre
Gender	Male
Speciality	Physical Medicine & Rehabilitation - Sports Medicine
Location	Src 190 1717 6th Ave S, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053842112
Provider Enumeration Date: 03/21/2017
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 2466880950
Enrollment ID: I20221031000732

Medical Identifiers

Medical identifiers for Johan Latorre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053842112	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2081S0010X	Physical Medicine & Rehabilitation - Sports Medicine	44926 (Alabama)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2081S0010X	Physical Medicine & Rehabilitation - Sports Medicine	4351026956 (Michigan)	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. Johan Latorre allows following entities to bill medicare on his behalf.

Entity Name	University Of Alabama Health Services Foundation, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261

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. Johan Latorre 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
Johan Latorre, MD, MS Src 190 1717 6th Ave S, Birmingham, AL 35294-0001 Ph: () -	Johan Latorre, MD, MS Src 190 1717 6th Ave S, Birmingham, AL 35294-0001 Ph: (205) 975-8298

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Birmingham, AL

Charles R Law, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 120 Oslo Cir, Birmingham, AL 35211 Phone: 205-944-3944 Fax: 205-413-4914
Keneshia Kirksey, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816
Charles Carnel, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 805 Saint Vincents Dr, Birmingham, AL 35205 Phone: 205-939-3699 Fax: 205-581-7155
Lonnie Blake Dorcey, RPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1201 3rd Ave N Ste B, Birmingham, AL 35203 Phone: 256-546-8127 Fax: 256-547-6720
Dr. Srinivas Mallempati, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1801 Gadsden Hwy, Birmingham, AL 35235 Phone: 205-838-3900 Fax: 205-838-3906
Elizabeth Chantal Twist, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-934-4011
Leesa D Miles, RPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2500 4th Ave S, Birmingham, AL 35233 Phone: 205-263-5800 Fax: 205-263-5850

Johan Latorre, MD, MS - Medicare Physical Medicine & Rehabilitation in Birmingham, AL