Ms Latisha A Smith-chase, MD - Medicare Undersea And Hyperbaric Medicine in Johnson Creek, WI

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Ms Latisha A Smith-chase, MD is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Johnson Creek, Wisconsin. She went to Hahnemann University College Of Medicine and graduated in 1983 and has 42 years of diverse experience with area of expertise as Undersea And Hyperbaric Medicine. She is a member of the group practice Fort Healthcare Inc and her current practice location is 400 Doctors Ct, Johnson Creek, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 699-4000.

Ms Latisha A Smith-chase is licensed to practice in Wisconsin (license number 73794-20) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154349900.

Contact Information

Ms Latisha A Smith-chase, MD
400 Doctors Ct,
Johnson Creek, WI 53038-9567
(920) 699-4000
Not Available

Map and Direction




Physician's Profile

Full NameMs Latisha A Smith-chase
GenderFemale
SpecialityUndersea And Hyperbaric Medicine
Experience42 Years
Location400 Doctors Ct, Johnson Creek, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Latisha A Smith-chase attended and graduated from Hahnemann University College Of Medicine in 1983
  NPI Data:
  • NPI Number: 1154349900
  • Provider Enumeration Date: 07/18/2006
  • Last Update Date: 10/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3274714431
  • Enrollment ID: I20201013002513

Medical Identifiers

Medical identifiers for Ms Latisha A Smith-chase such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154349900NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine G57131 (California)Secondary
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine G57131 (California)Secondary
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine 73794-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Marquardt Home HealthWatertown, WIHome health agency
Fort Memorial HospitalFort atkinson, WIHospital
Watertown Memorial HospitalWatertown, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fort Healthcare Inc0840189718122

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. Ms Latisha A Smith-chase allows following entities to bill medicare on her behalf.
Entity NameFort Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417993361
PECOS PAC ID: 0840189718
Enrollment ID: O20040319001411

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. Ms Latisha A Smith-chase 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 AddressPractice Location Address
Ms Latisha A Smith-chase, MD
Po Box 249,
Fort Atkinson, WI 53538-0249

Ph: (920) 563-4466		Ms Latisha A Smith-chase, MD
400 Doctors Ct,
Johnson Creek, WI 53038-9567

Ph: (920) 699-4000

Reviews and Comments


Preventive Medicine Doctors in Johnson Creek, WI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.