Mrs Latresha Rochelle Wade, NP in Little Rock, AR

Mrs Latresha Rochelle Wade, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Little Rock, Arkansas. Her current practice location is 14 Trevino Cv, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 416-0117.

Mrs Latresha Rochelle Wade is licensed to practice in Arkansas (license number 217904) 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 1962163105.

Contact Information

	Mrs Latresha Rochelle Wade, NP
	14 Trevino Cv, Little Rock, AR 72210-9107
	(501) 416-0117
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Latresha Rochelle Wade
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	14 Trevino Cv, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962163105
Provider Enumeration Date: 01/09/2022
Last Update Date: 01/09/2022

Medicare PECOS Information:

PECOS PAC ID: 6901284603
Enrollment ID: I20220609000161

Medical Identifiers

Medical identifiers for Mrs Latresha Rochelle Wade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962163105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	217904 (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. Mrs Latresha Rochelle Wade allows following entities to bill medicare on her behalf.

Entity Name	Horizon Mental Health Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255380176 PECOS PAC ID: 5799674131 Enrollment ID: O20051209000737

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 Latresha Rochelle Wade 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 Latresha Rochelle Wade, NP 4704 W Commercial Dr Ste A, North Little Rock, AR 72116-8040 Ph: (501) 416-0117	Mrs Latresha Rochelle Wade, NP 14 Trevino Cv, Little Rock, AR 72210-9107 Ph: (501) 416-0117

Reviews and Comments

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Mrs Latresha Rochelle Wade, NP - Medicare Nurse Practitioner in Little Rock, AR