Mrs Shannon Michal Latta, ARNP in Marysville, WA

Mrs Shannon Michal Latta, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Marysville, Washington. She went to University Of Washington School Of Medicine and graduated in 2009 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Optum Care Washington Pllc and her current practice location is 4420 76th St Ne, Marysville, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 651-7490.

Mrs Shannon Michal Latta is licensed to practice in Washington (license number AP60098107) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194956672.

Contact Information

	Mrs Shannon Michal Latta, ARNP
	4420 76th St Ne, Marysville, WA 98270-3726
	(360) 651-7490
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Michal Latta
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	4420 76th St Ne, Marysville, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shannon Michal Latta attended and graduated from University Of Washington School Of Medicine in 2009

NPI Data:

NPI Number: 1194956672
Provider Enumeration Date: 08/02/2009
Last Update Date: 12/13/2012

Medicare PECOS Information:

PECOS PAC ID: 9436296498
Enrollment ID: I20091022000747

Medical Identifiers

Medical identifiers for Mrs Shannon Michal Latta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194956672	NPI	-	NPPES
9662628	Medicaid	WA
0254476	Other	WA	LABOR & INDUSTRIES
2003611	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	AP60098107 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	AP60098107 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optum Care Washington Pllc	6406752153	559

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 Shannon Michal Latta allows following entities to bill medicare on her behalf.

Entity Name	Optum Care Washington Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922

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 Shannon Michal Latta 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 Shannon Michal Latta, ARNP Po Box 5127, Everett, WA 98206-5127 Ph: (425) 258-3900	Mrs Shannon Michal Latta, ARNP 4420 76th St Ne, Marysville, WA 98270-3726 Ph: (360) 651-7490

Reviews and Comments

Nurse Practitioner Nurses in Marysville, WA

Mrs. Janet Amenisomi Oladipo, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3955 156th St Ne, Marysville, WA 98271 Phone: 254-939-2100
Haley Anthes, ARNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4404 80th St Ne, Marysville, WA 98270 Phone: 360-659-1231
Dorothy Colleen Todd, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-304-8489 Fax: 425-304-8849
Teshome Shikesso, NP PSYCH/MENTAL HEAL Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3955 156th St Ne, Marysville, WA 98271 Phone: 360-651-6400
Mary Reckard, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7406
Mrs. Karen Bloom, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1630 Grove St, Marysville, WA 98270 Phone: 360-653-3500 Fax: 360-657-3268
Mr. Justin Gill, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2322 141st St Nw, Marysville, WA 98271 Phone: 360-441-7489

Mrs Shannon Michal Latta, ARNP - Medicare Nurse Practitioner in Marysville, WA