Ralph I Latta, MD in Benton, IL - Medicare Family Practice

Ralph I Latta, MD is a medicare enrolled "Family Medicine" physician in Benton, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Physician Services Corporation Of Southern Illinois Inc, Select Physical Therapy Holdings Inc and his current practice location is 501 N Duquoin, Benton, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 435-5362.

Ralph I Latta is licensed to practice in Illinois (license number 036114358) 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 1215956602.

Contact Information

	Ralph I Latta, MD
	501 N Duquoin, Benton, IL 62812-5228
	(618) 435-5362
	(618) 438-2613

Map and Direction

Physician's Profile

Full Name	Ralph I Latta
Gender	Male
Speciality	Family Practice
Experience	21 Years
Location	501 N Duquoin, Benton, Illinois
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:

Ralph I Latta attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2003

NPI Data:

NPI Number: 1215956602
Provider Enumeration Date: 07/18/2006
Last Update Date: 11/11/2020

Medicare PECOS Information:

PECOS PAC ID: 4789694290
Enrollment ID: I20060428000045

Medical Identifiers

Medical identifiers for Ralph I Latta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215956602	NPI	-	NPPES
P00329229	Other	IL	RR MEDICARE NUMBER
CG5564	Other	IL	RR GROUP NUMBER
036114358	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036114358 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ssm Health At Home Health-illinois	Mount vernon, IL	Home health agency
Ssm Health - Good Samaritan Hospital	Mount vernon, IL	Hospital
Franklin Hospital	Benton, IL	Hospital
Memorial Hospital Of Carbondale	Carbondale, IL	Hospital
Southern Illinois Hospital Services Dba Herrin Hospital	Herrin, IL	Hospital
Crossroads Community Hospital	Mount vernon, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physician Services Corporation Of Southern Illinois Inc	9234022567	100
Select Physical Therapy Holdings Inc	9537076401	1557

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. Ralph I Latta allows following entities to bill medicare on his behalf.

Entity Name	Physician Services Corporation Of Southern Illinois Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583

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. Ralph I Latta 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
Ralph I Latta, MD Po Box 1228, 501 N Duquoin, Benton, IL 62812-5228 Ph: (618) 435-5362	Ralph I Latta, MD 501 N Duquoin, Benton, IL 62812-5228 Ph: (618) 435-5362

Reviews and Comments

Family Medicine Doctors in Benton, IL

Brian Harrison, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Bailey Ln Ste 1, Benton, IL 62812 Phone: 618-438-5670 Fax: 618-438-5709
Dr. Richard Rethorst, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-435-2969
John D Hartman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Bailey Lane, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-439-4049
Anthony Miksanek, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 203 Bailey Ln, Benton, IL 62812 Phone: 618-438-3621 Fax: 618-438-3622

Ralph I Latta, MD - Medicare Family Practice in Benton, IL