Mr Dalton Enrico Latham, NP- NURSE PRACTITION - Medicare Nurse Practitioner in Berrien Springs, MI

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Mr Dalton Enrico Latham, NP- NURSE PRACTITION is a medicare enrolled "Nurse Practitioner - Adult Health" in Berrien Springs, Michigan. He graduated from nursing school in 2003 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Pine Ridge Indian Health Service Hospital, Wanblee Indian Health Service and his current practice location is 8521 Kephart Lane, Berrien Springs, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 277-3260.

Mr Dalton Enrico Latham is licensed to practice in Michigan (license number 4704211443) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194291179.

Contact Information

Mr Dalton Enrico Latham, NP- NURSE PRACTITION
8521 Kephart Lane,
Berrien Springs, MI 49103
(269) 277-3260
Not Available

Map and Direction




Provider's Profile

Full NameMr Dalton Enrico Latham
GenderMale
SpecialityNurse Practitioner
Experience22 Years
Location8521 Kephart Lane, Berrien Springs, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Dalton Enrico Latham graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1194291179
  • Provider Enumeration Date: 10/17/2018
  • Last Update Date: 10/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5991037061
  • Enrollment ID: I20191023002325

Medical Identifiers

Medical identifiers for Mr Dalton Enrico Latham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194291179NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 4704211443 (Michigan)Primary
363LF0000XNurse Practitioner - Family 4704211443 (Michigan)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pine Ridge Indian Health Service Hospital468857132688
Wanblee Indian Health Service46886541307

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. Mr Dalton Enrico Latham allows following entities to bill medicare on his behalf.
Entity NamePine Ridge Indian Health Service Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497786412
PECOS PAC ID: 4688571326
Enrollment ID: O20031218000966
Entity NamePine Ridge Indian Health Service Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003963497
PECOS PAC ID: 7214825371
Enrollment ID: O20040309001203
Entity NameWanblee Indian Health Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962559518
PECOS PAC ID: 4688654130
Enrollment ID: O20040723000965

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. Mr Dalton Enrico Latham 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 AddressPractice Location Address
Mr Dalton Enrico Latham, NP- NURSE PRACTITION
8521 Kephart Lane,
Berrien Springs, MI 49103

Ph: (269) 277-3260		Mr Dalton Enrico Latham, NP- NURSE PRACTITION
8521 Kephart Lane,
Berrien Springs, MI 49103

Ph: (269) 277-3260

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.