Latasha Wiley, in Jacksonville, FL - Medicare Nurse Practitioner

Latasha Wiley, is a medicare enrolled "Nurse Practitioner - Primary Care" in Jacksonville, Florida. Her current practice location is 11698 Alexandra Dr, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 598-4229.

Latasha Wiley is licensed to practice in Florida (license number APRN11005781) 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 1821628207.

Contact Information

	Latasha Wiley,
	11698 Alexandra Dr, Jacksonville, FL 32218-8874
	(904) 598-4229
	Not Available

Map and Direction

Provider's Profile

Full Name	Latasha Wiley
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	11698 Alexandra Dr, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821628207
Provider Enumeration Date: 01/24/2020
Last Update Date: 01/24/2020

Medicare PECOS Information:

PECOS PAC ID: 8527498112
Enrollment ID: I20200422002405

Medical Identifiers

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

Identifier	Type	State	Issuer
1821628207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	APRN11005781 (Florida)	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 Wiley allows following entities to bill medicare on her behalf.

Entity Name	Rmed Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508815358 PECOS PAC ID: 6608768411 Enrollment ID: O20040326000760

Entity Name	Hcr Manorcare Medical Services Of Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386750420 PECOS PAC ID: 2264338532 Enrollment ID: O20050413000643

Entity Name	Metro Infectious Disease Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235125717 PECOS PAC ID: 3072425784 Enrollment ID: O20160725002739

Entity Name	Nurse Practitioner Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780121277 PECOS PAC ID: 6002230778 Enrollment ID: O20230106000032

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 Wiley 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 Wiley, 11698 Alexandra Dr, Jacksonville, FL 32218-8874 Ph: (904) 598-4229	Latasha Wiley, 11698 Alexandra Dr, Jacksonville, FL 32218-8874 Ph: (904) 598-4229

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, FL

Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844
Jennifer Salenga Arguilla, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216 Phone: 904-493-3390 Fax: 904-493-3395
Xenia T Blount, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Jessica Pelkowski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832
Danielle Harper Key, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080

Latasha Wiley, - Medicare Nurse Practitioner in Jacksonville, FL