Latasha M Seal, NP is a medicare enrolled "Nurse Practitioner - Family" in Bean Station, Tennessee. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
1179 Highway 11w, Bean Station, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 993-1070.
Latasha M Seal is licensed to practice in Tennessee (license number 13557) 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 1699931857.
Provider's Profile
| Full Name | Latasha M Seal |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 16 Years |
|---|
| Location | 1179 Highway 11w, Bean Station, Tennessee |
|---|
| 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:
- Latasha M Seal graduated from nursing school in 2008
NPI Data:
- NPI Number: 1699931857
- Provider Enumeration Date: 08/06/2008
- Last Update Date: 09/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 6709069669
- Enrollment ID: I20110330000675
Medical Identifiers
Medical identifiers for Latasha M Seal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699931857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 13557 (Tennessee) | Primary |
Medical Facilities Affiliation
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 M Seal allows following entities to bill medicare on her behalf.
| Entity Name | Southern Care Clinic Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1265771281
PECOS PAC ID: 0244476026
Enrollment ID: O20130424000209 |
|---|
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 M Seal 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 M Seal, NP
1179 Highway 11w,
Bean Station, TN 37708-5809
Ph: (865) 993-1070 | Latasha M Seal, NP
1179 Highway 11w,
Bean Station, TN 37708-5809
Ph: (865) 993-1070 |
Reviews and Comments