Latasha Collins, CFNP in Jackson, MS - Medicare Nurse Practitioner

Latasha Collins, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Mississippi. Her current practice location is 969 Lakeland Dr, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 200-3631.

Latasha Collins is licensed to practice in Mississippi (license number 871496) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780089649.

Contact Information

	Latasha Collins, CFNP
	969 Lakeland Dr, Jackson, MS 39216-4606
	(601) 200-3631
	(601) 200-0159

Map and Direction

Provider's Profile

Full Name	Latasha Collins
Gender	Female
Speciality	Nurse Practitioner - Family
Location	969 Lakeland Dr, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780089649
Provider Enumeration Date: 11/04/2014
Last Update Date: 07/10/2024

Medicare PECOS Information:

PECOS PAC ID: 2961725056
Enrollment ID: I20141222000886

Medical Identifiers

Medical identifiers for Latasha Collins such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780089649	NPI	-	NPPES
06052845	Medicaid	MS
381429YKHV	Other	MS	MEDICARE
P01874646	Other	MS	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	871496 (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. Latasha Collins allows following entities to bill medicare on her behalf.

Entity Name	St. Dominic Jackson Memorial
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235173691 PECOS PAC ID: 4385531847 Enrollment ID: O20040301000818

Entity Name	St. Dominic Medical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821

Entity Name	Flowood River Oaks Hma Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801128798 PECOS PAC ID: 5890825004 Enrollment ID: O20100615000668

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. Latasha Collins 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
Latasha Collins, CFNP 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (601) 200-3631	Latasha Collins, CFNP 969 Lakeland Dr, Jackson, MS 39216-4606 Ph: (601) 200-3631

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Latasha Collins, CFNP - Medicare Nurse Practitioner in Jackson, MS