Latasha Vick, DDS is a
Dentist - General Practice based in Baxter Springs, Kansas. Latasha Vick is licensed to practice in Kansas (license number 61068) and her current practice location is
2990 Military Ave, Baxter Springs, Kansas. She can be reached at her office (for appointments etc.) via phone at
(620) 856-2900.
NPI number for Latasha Vick is 1669456364 and her current mailing address is 3011 N Michigan St, Pittsburg, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669456364.
Provider's Profile
| Full Name | Latasha Vick |
|---|
| Gender | Female |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 2990 Military Ave, Baxter Springs, Kansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1669456364
- Provider Enumeration Date: 12/06/2005
- Last Update Date: 08/20/2013
Medical Identifiers
Medical identifiers for Latasha Vick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669456364 | NPI | - | NPPES |
| 1061723 | Other | OK | PA LICENSE |
| 200022980B | Medicaid | OK | |
| 200022980C | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1061723 (Oklahoma) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1061723 (Oklahoma) | Secondary |
| 1223G0001X | Dentist - General Practice | 61068 (Kansas) | 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. Latasha Vick 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 |
|---|
Latasha Vick, DDS
3011 N Michigan St,
Pittsburg, KS 66762-2546
Ph: (620) 231-9873 | Latasha Vick, DDS
2990 Military Ave,
Baxter Springs, KS 66713-2331
Ph: (620) 856-2900 |
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