Dr Dormico Latashia Walker, DNP, MSN-L, PMHNP-BC in Santa Clara, CA

Dr Dormico Latashia Walker, DNP, MSN-L, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Santa Clara, California. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Denova Collaborative Health, Llc and her current practice location is 4633 Old Ironsides Dr Ste 304, Santa Clara, California. You can reach out to her office (for appointments etc.) via phone at (323) 745-8323.

Dr Dormico Latashia Walker is licensed to practice in Arizona (license number CNP-249922) 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 1841892593.

Contact Information

	Dr Dormico Latashia Walker, DNP, MSN-L, PMHNP-BC
	4633 Old Ironsides Dr Ste 304, Santa Clara, CA 95054-1846
	(323) 745-8323
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Dormico Latashia Walker
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	4633 Old Ironsides Dr Ste 304, Santa Clara, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Dormico Latashia Walker graduated from nursing school in 2020

NPI Data:

NPI Number: 1841892593
Provider Enumeration Date: 11/09/2020
Last Update Date: 09/14/2024

Medicare PECOS Information:

PECOS PAC ID: 3375954480
Enrollment ID: I20201120002265

Medical Identifiers

Medical identifiers for Dr Dormico Latashia Walker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841892593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	RN202021 (Arizona)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NP95027503 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	CNP-249922 (Arizona)	Primary
163WP0807X	Registered Nurse - Psychiatric/mental Health, Child & Adolescent	RN95310089 (California)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Denova Collaborative Health, Llc	2466437736	84

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. Dr Dormico Latashia Walker allows following entities to bill medicare on her behalf.

Entity Name	Denova Collaborative Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542

Entity Name	Transitions Center Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821485954 PECOS PAC ID: 6507132016 Enrollment ID: O20171030000289

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. Dr Dormico Latashia Walker 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
Dr Dormico Latashia Walker, DNP, MSN-L, PMHNP-BC 3101 N Central Ave Ste 550, Phoenix, AZ 85012-2635 Ph: (602) 230-7373	Dr Dormico Latashia Walker, DNP, MSN-L, PMHNP-BC 4633 Old Ironsides Dr Ste 304, Santa Clara, CA 95054-1846 Ph: (323) 745-8323

Reviews and Comments

Nurse Practitioner Nurses in Santa Clara, CA

Mrs. Sharlene Junio Madanes, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-3829 Fax: 408-851-3872
Alejandra Lorena Lecaros, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Ja Young Kim, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2734 El Camino Real, Santa Clara, CA 95051 Phone: 408-241-3801
Jacqueline E Trammell, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Department 342, Santa Clara, CA 95051 Phone: 408-851-3828 Fax: 408-851-3872
Mr. Erick Michael Pierce, RN, NP, CRNA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-6012
Erma Carbonell Trias, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-2399
Mrs. Marion C Colombo, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2885 Kaiser Dr., Building C, Santa Clara, CA 95051 Phone: 408-851-9400 Fax: 408-851-9412

Dr Dormico Latashia Walker, DNP, MSN-L, PMHNP-BC - Medicare Nurse Practitioner in Santa Clara, CA