Mrs Latesha Tiffany Reed, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Cardiff, California. Her current practice location is
120 Birmingham Dr Ste 240a, Cardiff, California. You can reach out to her office (for appointments etc.) via phone at
(858) 208-0121.
Mrs Latesha Tiffany Reed is licensed to practice in California (license number 95002463) 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 1184018012.
Provider's Profile
Full Name | Mrs Latesha Tiffany Reed |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 120 Birmingham Dr Ste 240a, Cardiff, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184018012
- Provider Enumeration Date: 03/28/2015
- Last Update Date: 09/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456635622
- Enrollment ID: I20170412000924
Medical Identifiers
Medical identifiers for Mrs Latesha Tiffany Reed such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184018012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 95002463 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95002463 (California) | 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. Mrs Latesha Tiffany Reed allows following entities to bill medicare on her behalf.
Entity Name | Recover Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215509393 PECOS PAC ID: 4284022856 Enrollment ID: O20211101002036 |
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Entity Name | Neuro Fitness Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659072106 PECOS PAC ID: 8325404585 Enrollment ID: O20230614002253 |
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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. Mrs Latesha Tiffany Reed 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 |
Mrs Latesha Tiffany Reed, NP 120 Birmingham Dr Ste 240a, Cardiff, CA 92007-1757 Ph: (858) 208-0121 | Mrs Latesha Tiffany Reed, NP 120 Birmingham Dr Ste 240a, Cardiff, CA 92007-1757 Ph: (858) 208-0121 |
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