Mr Radouane Laktib, PMHNP-BC in Tampa, FL - Medicare Nurse Practitioner

Mr Radouane Laktib, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tampa, Florida. His current practice location is 4202 E Fowler Ave, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 974-2331.

Mr Radouane Laktib is licensed to practice in Florida (license number APRN11031382) 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 1255196945.

Contact Information

	Mr Radouane Laktib, PMHNP-BC
	4202 E Fowler Ave, Tampa, FL 33620-8000
	(813) 974-2331
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Radouane Laktib
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4202 E Fowler Ave, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255196945
Provider Enumeration Date: 02/21/2024
Last Update Date: 04/24/2024

Medicare PECOS Information:

PECOS PAC ID: 1355789165
Enrollment ID: I20240328004072

Medical Identifiers

Medical identifiers for Mr Radouane Laktib such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255196945	NPI	-	NPPES
121788700	Medicaid	FL
ERQTY	Other	FL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11031382 (Florida)	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 Radouane Laktib allows following entities to bill medicare on his behalf.

Entity Name	University Medical Service Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130

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 Radouane Laktib 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 Radouane Laktib, PMHNP-BC 10411 Goldenbrook Way, Tampa, FL 33647-3169 Ph: (813) 857-1181	Mr Radouane Laktib, PMHNP-BC 4202 E Fowler Ave, Tampa, FL 33620-8000 Ph: (813) 974-2331

Reviews and Comments

Nurse Practitioner Nurses in Tampa, FL

Charmaine Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808
Ms. Bridget Shoulders-odom, MS, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Bld, Tampa, FL 33612 Phone: 813-972-2000
Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631

Mr Radouane Laktib, PMHNP-BC - Medicare Nurse Practitioner in Tampa, FL