Latova Nichelle Quattlebaum, NP in Columbia, SC

Latova Nichelle Quattlebaum, NP is a medicare enrolled "Nurse Practitioner" in Columbia, South Carolina. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prisma Health Medical Group-midlands and her current practice location is 1228 Harden St Ste B, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 733-5969.

Latova Nichelle Quattlebaum is licensed to practice in South Carolina (license number 21979) 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 1659854255.

Contact Information

	Latova Nichelle Quattlebaum, NP
	1228 Harden St Ste B, Columbia, SC 29204-1800
	(803) 733-5969
	(803) 753-5591

Map and Direction

Provider's Profile

Full Name	Latova Nichelle Quattlebaum
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1228 Harden St Ste B, Columbia, South Carolina
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:

Latova Nichelle Quattlebaum graduated from nursing school in 2017

NPI Data:

NPI Number: 1659854255
Provider Enumeration Date: 09/10/2018
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 3072857101
Enrollment ID: I20181130001131

Medical Identifiers

Medical identifiers for Latova Nichelle Quattlebaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659854255	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	21979 (South Carolina)	Secondary
363L00000X	Nurse Practitioner	21979 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Prisma Health Baptist	Columbia, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prisma Health Medical Group-midlands	5991099707	881

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. Latova Nichelle Quattlebaum allows following entities to bill medicare on her behalf.

Entity Name	Eau Claire Cooperative Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346249430 PECOS PAC ID: 3274434220 Enrollment ID: O20040114000335

Entity Name	Prisma Health Medical Group-midlands
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226

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. Latova Nichelle Quattlebaum 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
Latova Nichelle Quattlebaum, NP Po Box 3788, Columbia, SC 29230-3788 Ph: (803) 733-5969	Latova Nichelle Quattlebaum, NP 1228 Harden St Ste B, Columbia, SC 29204-1800 Ph: (803) 733-5969

Reviews and Comments

Nurse Practitioner Nurses in Columbia, SC

Mr. Joseph Crawford Iii, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203 Phone: 803-256-6511
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Latonya Brailsford, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 142 Whispering Pines Cir, Columbia, SC 29205 Phone: 803-351-9405 Fax: 803-219-3836
Laketa D Riley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909
Jenny O'neill, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 Devine St Ste 101, Columbia, SC 29205 Phone: 803-457-8125 Fax: 803-457-8129
Sarah Elizabeth Wilson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203 Phone: 803-434-3950 Fax: 803-434-3496
Miss Karen Mccain, NURSE PRACTITONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909

Latova Nichelle Quattlebaum, NP - Medicare Nurse Practitioner in Columbia, SC