Mr Micah Latham, APRN-CNP in Malvern, AR - Medicare Nurse Practitioner

Mr Micah Latham, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Malvern, Arkansas. His current practice location is 1208 Brownwood St, Malvern, Arkansas. You can reach out to his office (for appointments etc.) via phone at (540) 446-9297.

Mr Micah Latham is licensed to practice in Arkansas (license number 213314) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730783606.

Contact Information

	Mr Micah Latham, APRN-CNP
	1208 Brownwood St, Malvern, AR 72104-2202
	(540) 446-9297
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Micah Latham
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1208 Brownwood St, Malvern, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730783606
Provider Enumeration Date: 11/23/2020
Last Update Date: 11/23/2020

Medicare PECOS Information:

PECOS PAC ID: 5193190296
Enrollment ID: I20230403001162

Medical Identifiers

Medical identifiers for Mr Micah Latham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730783606	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	213314 (Arkansas)	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. Mr Micah Latham allows following entities to bill medicare on his behalf.

Entity Name	Integrated Care Professionals Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164762662 PECOS PAC ID: 8527200955 Enrollment ID: O20130814000016

Entity Name	Icp Arkansas Aco Billing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679157838 PECOS PAC ID: 8820497886 Enrollment ID: O20210524001681

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 Micah 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 Address	Practice Location Address
Mr Micah Latham, APRN-CNP 1208 Brownwood St, Malvern, AR 72104-2202 Ph: () -	Mr Micah Latham, APRN-CNP 1208 Brownwood St, Malvern, AR 72104-2202 Ph: (540) 446-9297

Reviews and Comments

Nurse Practitioner Nurses in Malvern, AR

Kendra Roberts, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Walco Ln, Malvern, AR 72104 Phone: 501-467-3400
Mona Renea Simms, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 Henry St, Malvern, AR 72104 Phone: 501-332-5245
Bethany Cox, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400
Mrs. Rachel Scrimshire, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1604 Martin Luther King Blvd, Malvern, AR 72104 Phone: 501-732-5400 Fax: 501-325-9650
Brittany Camille Flynn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1517 S Main St, Malvern, AR 72104 Phone: 501-332-7525 Fax: 501-467-3071
John Mark Bates, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Schneider Dr Ste 104, Malvern, AR 72104 Phone: 501-337-9994
Briana Lee Newcomb, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1003 Schneider Dr, Malvern, AR 72104 Phone: 888-710-8220 Fax: 866-573-0761

Mr Micah Latham, APRN-CNP - Medicare Nurse Practitioner in Malvern, AR