Latoya Denise Mickle, APRN in Columbia, SC - Medicare Nurse Practitioner

Latoya Denise Mickle, APRN is a medicare enrolled "Nurse Practitioner - Family" in Columbia, South Carolina. Her current practice location is 111 Doctor Cir, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (800) 491-0909.

Latoya Denise Mickle is licensed to practice in South Carolina (license number 4225) 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 1487954079.

Contact Information

	Latoya Denise Mickle, APRN
	111 Doctor Cir, Columbia, SC 29203-6502
	(800) 491-0909
	Not Available

Map and Direction

Provider's Profile

Full Name	Latoya Denise Mickle
Gender	Female
Speciality	Nurse Practitioner - Family
Location	111 Doctor Cir, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487954079
Provider Enumeration Date: 10/28/2010
Last Update Date: 09/17/2024

Medicare PECOS Information:

PECOS PAC ID: 5799964649
Enrollment ID: I20110124001017

Medical Identifiers

Medical identifiers for Latoya Denise Mickle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487954079	NPI	-	NPPES
NP1833	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4225 (South Carolina)	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. Latoya Denise Mickle allows following entities to bill medicare on her behalf.

Entity Name	Sc House Calls Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518048859 PECOS PAC ID: 6800994807 Enrollment ID: O20070613000821

Entity Name	Wal-mart Stores East , Lp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922415165 PECOS PAC ID: 6204749997 Enrollment ID: O20141024000133

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. Latoya Denise Mickle 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
Latoya Denise Mickle, APRN 111 Doctor Cir, Columbia, SC 29203-6502 Ph: (800) 491-0909	Latoya Denise Mickle, APRN 111 Doctor Cir, Columbia, SC 29203-6502 Ph: (800) 491-0909

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
Richard Hall Iii, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-6095 Fax: 803-758-0120
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

Latoya Denise Mickle, APRN - Medicare Nurse Practitioner in Columbia, SC