Mrs Latrice Marie Gillis, PMHNP in Tonawanda, NY

Mrs Latrice Marie Gillis, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tonawanda, New York. Her current practice location is 72 Evergreen Dr, Tonawanda, New York. You can reach out to her office (for appointments etc.) via phone at (716) 799-2063.

Mrs Latrice Marie Gillis is licensed to practice in New York (license number 404533) 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 1891407185.

Contact Information

	Mrs Latrice Marie Gillis, PMHNP
	72 Evergreen Dr, Tonawanda, NY 14150-6402
	(716) 799-2063
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Latrice Marie Gillis
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	72 Evergreen Dr, Tonawanda, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891407185
Provider Enumeration Date: 12/19/2022
Last Update Date: 12/19/2022

Medicare PECOS Information:

PECOS PAC ID: 7810347887
Enrollment ID: I20240103002419

Medical Identifiers

Medical identifiers for Mrs Latrice Marie Gillis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891407185	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	404533 (New York)	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 Latrice Marie Gillis allows following entities to bill medicare on her behalf.

Entity Name	Junaid Hashim
Entity Type	Practitioner - Psychiatry
Entity Identifiers	NPI Number: 1013038785 PECOS PAC ID: 7214115732 Enrollment ID: I20110701000025

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 Latrice Marie Gillis 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 Latrice Marie Gillis, PMHNP 72 Evergreen Dr, Tonawanda, NY 14150-6402 Ph: (716) 799-2063	Mrs Latrice Marie Gillis, PMHNP 72 Evergreen Dr, Tonawanda, NY 14150-6402 Ph: (716) 799-2063

Reviews and Comments

Nurse Practitioner Nurses in Tonawanda, NY

Mrs. Kathleen A Kovacs, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1430 Colvin Blvd, Tonawanda, NY 14223 Phone: 716-874-4060 Fax: 716-871-1198
Marijane Cotroneo, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4041 Delaware Avenue, Tonawanda, NY 14150 Phone: 716-876-5512 Fax: 716-876-7342
Mrs. Teresa M. Snyder, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1430 Colvin Blvd, Tonawanda, NY 14223 Phone: 716-874-4060
Connie Woroszylo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1751 Sheridan Dr, Tonawanda, NY 14223 Phone: 716-541-0234
Christene M Amabile, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1370 Niagara Falls Blvd, Tonawanda, NY 14150 Phone: 716-833-3708
Ms. Jenny T. Bagen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1405 Sheridan Dr, Tonawanda, NY 14217 Phone: 716-432-2892 Fax: 716-389-4155
Chakarra Pompey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 198 Northwood Dr, Tonawanda, NY 14223 Phone: 716-420-4182

Mrs Latrice Marie Gillis, PMHNP - Medicare Nurse Practitioner in Tonawanda, NY