Audrey Joann Wallace Latham, FNP, ENP - Medicare Nurse Practitioner in Amarillo, TX

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Audrey Joann Wallace Latham, FNP, ENP is a medicare enrolled "Family Medicine" in Amarillo, Texas. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Acs Primary Care Physicians Southwest Pa, Nes Southwest Medical Services Inc. and her current practice location is 1600 Wallace Blvd, Amarillo, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 212-5750.

Audrey Joann Wallace Latham is licensed to practice in Texas (license number AP144794) 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 1710518071.

Contact Information

Audrey Joann Wallace Latham, FNP, ENP
1600 Wallace Blvd,
Amarillo, TX 79106-1799
(806) 212-5750
Not Available

Map and Direction




Provider's Profile

Full NameAudrey Joann Wallace Latham
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1600 Wallace Blvd, Amarillo, Texas
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:
  • Audrey Joann Wallace Latham graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1710518071
  • Provider Enumeration Date: 01/27/2020
  • Last Update Date: 11/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082044144
  • Enrollment ID: I20200414001755

Medical Identifiers

Medical identifiers for Audrey Joann Wallace Latham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710518071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP144794 (Texas)Secondary
207Q00000XFamily Medicine AP144794 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Acs Primary Care Physicians Southwest Pa1850204363229
Nes Southwest Medical Services Inc.923452080043

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. Audrey Joann Wallace Latham allows following entities to bill medicare on her behalf.
Entity NameTexas Em-i Medical Services, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457428849
PECOS PAC ID: 6507760543
Enrollment ID: O20031201000296
Entity NameAcs Primary Care Physicians Southwest Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538101019
PECOS PAC ID: 1850204363
Enrollment ID: O20041206000027
Entity NameNes Southwest Medical Services Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093487449
PECOS PAC ID: 9234520800
Enrollment ID: O20211216001478

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. Audrey Joann Wallace Latham 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
Audrey Joann Wallace Latham, FNP, ENP
1600 Wallace Blvd,
Amarillo, TX 79106-1799

Ph: (806) 212-5750		Audrey Joann Wallace Latham, FNP, ENP
1600 Wallace Blvd,
Amarillo, TX 79106-1799

Ph: (806) 212-5750

Reviews and Comments



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.