Latasha Ann-pegram Dunford, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Charlottesville, Virginia. Her current practice location is
500 Ray C Hunt Dr Fl 3, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 924-2224.
Latasha Ann-pegram Dunford is licensed to practice in Virginia (license number 0024175048) 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 1720505019.
Physician's Profile
Full Name | Latasha Ann-pegram Dunford |
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Gender | Female |
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Speciality | Nurse Practitioner - Acute Care |
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Location | 500 Ray C Hunt Dr Fl 3, Charlottesville, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720505019
- Provider Enumeration Date: 08/28/2017
- Last Update Date: 03/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 6800143736
- Enrollment ID: I20180723002900
Medical Identifiers
Medical identifiers for Latasha Ann-pegram Dunford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720505019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 0024175048 (Virginia) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 0024175048 (Virginia) | 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. Latasha Ann-pegram Dunford allows following entities to bill medicare on her behalf.
Entity Name | University Of Virginia Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780 |
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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. Latasha Ann-pegram Dunford 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 |
Latasha Ann-pegram Dunford, AGACNP-BC Po Box 9007, Charlottesville, VA 22906-9007 Ph: () - | Latasha Ann-pegram Dunford, AGACNP-BC 500 Ray C Hunt Dr Fl 3, Charlottesville, VA 22903-2981 Ph: (434) 924-2224 |
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