Nivea Lathan, OTR/L in Chicago, IL - Medicare Occupational Therapist Provider

Nivea Lathan, OTR/L is a medicare enrolled "Occupational Therapist" provider in Chicago, Illinois. Her current practice location is 1510 E. 55th, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 685-2039.

Nivea Lathan is licensed to practice in Illinois (license number 056.010873) 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 1841829629.

Contact Information

	Nivea Lathan, OTR/L
	1510 E. 55th, Chicago, IL 60615
	(312) 685-2039
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nivea Lathan
Gender	Female
Speciality	Occupational Therapist
Location	1510 E. 55th, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841829629
Provider Enumeration Date: 04/03/2020
Last Update Date: 09/03/2021

Medicare PECOS Information:

PECOS PAC ID: 5092173690
Enrollment ID: I20230613003788

Medical Identifiers

Medical identifiers for Nivea Lathan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841829629	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	056.010873 (Illinois)	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. Nivea Lathan allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Services Il Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1114443462 PECOS PAC ID: 8224379763 Enrollment ID: O20190409003124

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. Nivea Lathan 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
Nivea Lathan, OTR/L 1510 E 55th St, Chicago, IL 60615-2598 Ph: (312) 685-2039	Nivea Lathan, OTR/L 1510 E. 55th, Chicago, IL 60615 Ph: (312) 685-2039

Reviews and Comments

Occupational Therapist in Chicago, IL

Brittany Cindy Speron, BRITTANY SPERONMOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000
Kimberly Kopka, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000
Kaitlin Elizabeth Brunsvold, M.S. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2515 N Clark St., Chicago, IL 60614 Phone: 312-227-4000
Mrs. Cathleen Conway Jensen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1740 W Taylor St, C100, Chicago, IL 60612 Phone: 312-996-3700
Jesse Forest Langille, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1509 S Michigan Ave, Chicago, IL 60605 Phone: 312-431-0434
Kathleen Needham, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2515 N Clark St, Chicago, IL 60614 Phone: 312-227-6974
Justine Cabrera, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 W Irving Park Rd, Chicago, IL 60613 Phone: 773-687-9442

Nivea Lathan, OTR/L - Medicare Occupational Therapist in Chicago, IL