Latonya S Mims, CRNA in Shreveport, LA - Medicare Certified Registered Nurse Anesthetist (crna)

Latonya S Mims, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Shreveport, Louisiana. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Dogwood Anesthesia Providers Llc and her current practice location is 2427 Lakecrest Dr, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 560-2312.

Latonya S Mims is licensed to practice in Texas (license number 668574) 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 1801879754.

Contact Information

	Latonya S Mims, CRNA
	2427 Lakecrest Dr, Shreveport, LA 71109-3003
	(318) 560-2312
	Not Available

Map and Direction

Provider's Profile

Full Name	Latonya S Mims
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	21 Years
Location	2427 Lakecrest Dr, Shreveport, Louisiana
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:

Latonya S Mims graduated from nursing school in 2003

NPI Data:

NPI Number: 1801879754
Provider Enumeration Date: 11/23/2005
Last Update Date: 02/09/2023

Medicare PECOS Information:

PECOS PAC ID: 0648249755
Enrollment ID: I20230630000092

Medical Identifiers

Medical identifiers for Latonya S Mims such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801879754	NPI	-	NPPES
110172339A	Medicaid	MA
1195901	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN243434 (Massachusetts)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	668574 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John Randolph Medical Center	Hopewell, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dogwood Anesthesia Providers Llc	2769853084	138

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. Latonya S Mims allows following entities to bill medicare on her behalf.

Entity Name	Dogwood Anesthesia Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982329900 PECOS PAC ID: 2769853084 Enrollment ID: O20230125000989

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. Latonya S Mims 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
Latonya S Mims, CRNA 2427 Lakecrest Dr, Shreveport, LA 71109-3003 Ph: (318) 560-2312	Latonya S Mims, CRNA 2427 Lakecrest Dr, Shreveport, LA 71109-3003 Ph: (318) 560-2312

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Shreveport, LA

Billy B Miller Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118 Phone: 318-212-5000
Ms. Lisa Nicole Kellogg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5000
Kurvis Antione Davis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 367 Carrollton Ave, Shreveport, LA 71105 Phone: 318-573-0604
Brian House, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Benjamin R. Wisenbaker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833
Michael Liles, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5000
Kerri Annette Mullone, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000

Latonya S Mims, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Shreveport, LA