Latasha Deree Hines, AGACNP in Raleigh, NC - Medicare Nurse Practitioner

Latasha Deree Hines, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Raleigh, North Carolina. Her current practice location is 4420 Lake Boone Trl, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 784-2100.

Latasha Deree Hines is licensed to practice in North Carolina (license number 5018669) 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 1245014299.

Contact Information

	Latasha Deree Hines, AGACNP
	4420 Lake Boone Trl, Raleigh, NC 27607-7505
	(919) 784-2100
	Not Available

Map and Direction

Provider's Profile

Full Name	Latasha Deree Hines
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	4420 Lake Boone Trl, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245014299
Provider Enumeration Date: 08/22/2023
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7517303639
Enrollment ID: I20240312001946

Medical Identifiers

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

Identifier	Type	State	Issuer
1245014299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	HINE-3CL25 (North Carolina)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	5018669 (North Carolina)	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 Deree Hines allows following entities to bill medicare on her behalf.

Entity Name	Rex Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144248683 PECOS PAC ID: 0840109864 Enrollment ID: O20140613001181

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 Deree Hines 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 Deree Hines, AGACNP 2036 Charterhouse Ln, Winterville, NC 28590-8017 Ph: (252) 560-2435	Latasha Deree Hines, AGACNP 4420 Lake Boone Trl, Raleigh, NC 27607-7505 Ph: (919) 784-2100

Reviews and Comments

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Latasha Deree Hines, AGACNP - Medicare Nurse Practitioner in Raleigh, NC