Latisha Stovall, is a medicare enrolled "Occupational Therapist" provider in Bushland, Texas. Her current practice location is
411 N Graystone Ln, Bushland, Texas. You can reach out to her office (for appointments etc.) via phone at
(806) 787-8610.
Latisha Stovall is licensed to practice in Texas (license number 111527) 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 1518556851.
Healthcare Provider's Profile
| Full Name | Latisha Stovall |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 411 N Graystone Ln, Bushland, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518556851
- Provider Enumeration Date: 01/12/2021
- Last Update Date: 01/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961867403
- Enrollment ID: I20230505000211
Medical Identifiers
Medical identifiers for Latisha Stovall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518556851 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225XP0019X | Occupational Therapist - Physical Rehabilitation | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 111527 (Texas) | 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. Latisha Stovall allows following entities to bill medicare on her behalf.
| Provider Name | Century Rehabilitation Of Texas Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1093308967
PECOS PAC ID: 6608275607
Enrollment ID: O20230420000026 |
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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. Latisha Stovall 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 |
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Latisha Stovall,
Po Box 399,
Bushland, TX 79012-0399
Ph: () - | Latisha Stovall,
411 N Graystone Ln,
Bushland, TX 79124-1539
Ph: (806) 787-8610 |
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