Kim Marie Latterner, PA-C is a
Physician Assistant - Medical based in Manchester, Pennsylvania. Kim Marie Latterner is licensed to practice in Pennsylvania (license number MA001899L) and her current practice location is
115 Hickory Dr, Manchester, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(717) 266-6784.
NPI number for Kim Marie Latterner is 1356359889 and her current mailing address is 115 Hickory Dr, Manchester, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356359889.
Provider's Profile
Full Name | Kim Marie Latterner |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 115 Hickory Dr, Manchester, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356359889
- Provider Enumeration Date: 08/03/2006
- Last Update Date: 12/19/2011
Medical Identifiers
Medical identifiers for Kim Marie Latterner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356359889 | NPI | - | NPPES |
1933965 | Other | PA | HIGHMARK BLUE SHIELD |
1565458 | Other | PA | GATEWAY-WMG |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | C0002815 (Maryland) | Secondary |
363AM0700X | Physician Assistant - Medical | MA001899L (Pennsylvania) | Primary |
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. Kim Marie Latterner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kim Marie Latterner, PA-C 115 Hickory Dr, Manchester, PA 17345-9502 Ph: (717) 266-6784 | Kim Marie Latterner, PA-C 115 Hickory Dr, Manchester, PA 17345-9502 Ph: (717) 266-6784 |
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