Latasha Dwan Vines, RN, FNP in Mansfield, TX - Medicare Nurse Practitioner

Latasha Dwan Vines, RN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mansfield, Texas. Her current practice location is 1754 Broad Park Circle N, Mansfield, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 225-2718.

Latasha Dwan Vines is licensed to practice in Texas (license number AP127627) 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 1972901213.

Contact Information

	Latasha Dwan Vines, RN, FNP
	1754 Broad Park Circle N, Mansfield, TX 76063
	(817) 225-2718
	(817) 225-2771

Map and Direction

Provider's Profile

Full Name	Latasha Dwan Vines
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1754 Broad Park Circle N, Mansfield, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972901213
Provider Enumeration Date: 12/19/2014
Last Update Date: 06/24/2020

Medicare PECOS Information:

PECOS PAC ID: 3577880152
Enrollment ID: I20160421000304

Medical Identifiers

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

Identifier	Type	State	Issuer
1972901213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1922 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	AP127627 (Texas)	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 Dwan Vines allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Of Texas Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609076330 PECOS PAC ID: 7416039177 Enrollment ID: O20080204000113

Entity Name	Steven P Havard, Md, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528207024 PECOS PAC ID: 6608923776 Enrollment ID: O20090406000562

Entity Name	Post Acute Specialists Of Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942859350 PECOS PAC ID: 2769814573 Enrollment ID: O20191118000071

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 Dwan Vines 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 Dwan Vines, RN, FNP 2200 Matlock Rd, Mansfield, TX 76063-3855 Ph: () -	Latasha Dwan Vines, RN, FNP 1754 Broad Park Circle N, Mansfield, TX 76063 Ph: (817) 225-2718

Reviews and Comments

Nurse Practitioner Nurses in Mansfield, TX

Ms. Courtney Miller, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1707 Clover Hill Rd, Mansfield, TX 76063 Phone: 817-456-8798
Mr. Laurence A. Gadbois Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2303 Lockshire Dr, Mansfield, TX 76063 Phone: 682-225-0319
Mrs. Linda Gail Langston, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2800 E Broad Street Suite 400, Mansfield, TX 76063 Phone: 817-477-9292
Mrs. Renee Rachelle Baril, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 N Miller Rd Ste 300, Mansfield, TX 76063 Phone: 682-341-7510 Fax: 682-341-7511
Mrs. Saaghe Mmbi Fogwe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 Heritage Pkwy Ste 225, Mansfield, TX 76063 Phone: 817-453-7522 Fax: 866-665-6659
Oluwatosin B Ajibola, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Captains Ct, Mansfield, TX 76063 Phone: 817-239-2205
Mrs. Tanita Breyannen Denae Butler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Matlock Rd, Mansfield, TX 76063 Phone: 817-453-0267

Latasha Dwan Vines, RN, FNP - Medicare Nurse Practitioner in Mansfield, TX