Craig Larry Lathen, FNP is a medicare enrolled "Nurse Practitioner" in Owyhee, Nevada. His current practice location is
1623 Hospital Loop, Owyhee, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 757-2415.
Craig Larry Lathen is licensed to practice in Idaho (license number 55861) 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 1962265199.
Provider's Profile
| Full Name | Craig Larry Lathen |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 1623 Hospital Loop, Owyhee, Nevada |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962265199
- Provider Enumeration Date: 01/31/2024
- Last Update Date: 01/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709324106
- Enrollment ID: I20240816000944
Medical Identifiers
Medical identifiers for Craig Larry Lathen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962265199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 55861 (Idaho) | 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. Craig Larry Lathen allows following entities to bill medicare on his behalf.
| Entity Name | Shoshone-paiute Tribes |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528230224
PECOS PAC ID: 5092871889
Enrollment ID: O20100812000813 |
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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. Craig Larry Lathen 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 |
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Craig Larry Lathen, FNP
Po Box 116,
Mountain City, NV 89831-0116
Ph: (208) 851-2472 | Craig Larry Lathen, FNP
1623 Hospital Loop,
Owyhee, NV 89832-1200
Ph: (775) 757-2415 |
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