Latori Diane Wilson Roberts, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Hermanville, Mississippi. Her current practice location is
6020 Shelby Rd, Hermanville, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 529-3390.
Latori Diane Wilson Roberts is licensed to practice in Mississippi (license number 904922) 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 1477225902.
Provider's Profile
| Full Name | Latori Diane Wilson Roberts |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 6020 Shelby Rd, Hermanville, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Latori Diane Wilson Roberts attended and graduated from in
NPI Data:
- NPI Number: 1477225902
- Provider Enumeration Date: 10/04/2021
- Last Update Date: 06/17/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Latori Diane Wilson Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477225902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 904922 (Mississippi) | 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. Latori Diane Wilson Roberts 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 |
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Latori Diane Wilson Roberts, NURSE PRACTITIONER
6020 Shelby Rd,
Hermanville, MS 39086-9618
Ph: (601) 529-3390 | Latori Diane Wilson Roberts, NURSE PRACTITIONER
6020 Shelby Rd,
Hermanville, MS 39086-9618
Ph: (601) 529-3390 |
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