Wayne Arthur Latack, MD in Biloxi, MS - Medicare Internal Medicine

Wayne Arthur Latack, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Biloxi, Mississippi. His current practice location is 301 Fisher St, Keesler Afb, Biloxi, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 376-3372.

Wayne Arthur Latack is licensed to practice in Mississippi (license number 21859) 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 1629288089.

Contact Information

	Wayne Arthur Latack, MD
	301 Fisher St, Keesler Afb, Biloxi, MS 39534-2508
	(228) 376-3372
	(228) 376-0125

Map and Direction

Physician's Profile

Full Name	Wayne Arthur Latack
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	301 Fisher St, Biloxi, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629288089
Provider Enumeration Date: 05/23/2007
Last Update Date: 10/12/2023

Medicare PECOS Information:

PECOS PAC ID: 8022299593
Enrollment ID: I20110217000213

Medical Identifiers

Medical identifiers for Wayne Arthur Latack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629288089	NPI	-	NPPES
21859	Other	MS	MEDICAL LICENSURE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	21859 (Mississippi)	Secondary
207RN0300X	Internal Medicine - Nephrology	21859 (Mississippi)	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. Wayne Arthur Latack allows following entities to bill medicare on his behalf.

Entity Name	Memorial Hospital At Gulfport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396

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. Wayne Arthur Latack 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
Wayne Arthur Latack, MD 301 Fisher St, Keesler Afb, Biloxi, MS 39534-2508 Ph: (228) 376-3372	Wayne Arthur Latack, MD 301 Fisher St, Keesler Afb, Biloxi, MS 39534-2508 Ph: (228) 376-3372

Reviews and Comments

Internal Medicine Doctors in Biloxi, MS

Danielle Kusserow Bersabe, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 920 Cedar Lake Rd Ste R, Biloxi, MS 39532 Phone: 228-207-0260
Eva Magiros, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1720a Medical Park Dr, Suite 340, Biloxi, MS 39532 Phone: 228-392-7429 Fax: 228-396-3830
Dr. David Paul Demasters, DO Nephrology Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Biloxi, MS 39534 Phone: 228-376-3629
Dr. Michael Heath Haggard, MD Nephrology Medicare: Medicare Enrolled Practice Location: 301 Fisher St, Biloxi, MS 39534 Phone: 228-376-0576 Fax: 228-376-0103
Robert J Bonhomme, MD Nephrology Medicare: Medicare Enrolled Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-5000 Fax: 228-523-4322
Dr. Belinda Alexander, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2771 Pass Rd, Suite A, Biloxi, MS 39531 Phone: 228-385-4645 Fax: 228-385-4695
Bennett W Cheney, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 147 Reynoir Street, Suite 204, Biloxi, MS 39530 Phone: 228-374-2051 Fax: 228-374-2051

Wayne Arthur Latack, MD - Medicare Internal Medicine in Biloxi, MS