Mr Mark A Latta, OD - Medicare Optometrist in Fort Defiance, AZ

Mr Mark A Latta, OD is a medicare enrolled "Optometrist" provider in Fort Defiance, Arizona. His current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 729-8925.

Mr Mark A Latta is licensed to practice in Texas (license number 2728TG) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609865872.

Contact Information

Mr Mark A Latta, OD
Corner Of Route N12 And N7,
Fort Defiance, AZ 86504
(928) 729-8925
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Mark A Latta
GenderMale
SpecialityOptometrist
LocationCorner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609865872
  • Provider Enumeration Date: 10/19/2005
  • Last Update Date: 06/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5395852115
  • Enrollment ID: I20111107000405

Medical Identifiers

Medical identifiers for Mr Mark A Latta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609865872NPI-NPPES
410039483OtherTXRAILROAD MEDICARE
89X292OtherTXBC/BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2728TG (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. Mr Mark A Latta allows following entities to bill medicare on his behalf.
Provider NameDhhs Phs Naihs Shiprock Hospital
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780639971
PECOS PAC ID: 0749193837
Enrollment ID: O20031105000809

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. Mr Mark A 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 AddressPractice Location Address
Mr Mark A Latta, OD
4140 Marla Dr Ne,
Albuquerque, NM 87109-1983

Ph: () -
Mr Mark A Latta, OD
Corner Of Route N12 And N7,
Fort Defiance, AZ 86504

Ph: (928) 729-8925

Reviews and Comments


Optometrist in Fort Defiance, AZ

Dr. Melissa Marie Lester, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8929    
Dr. Lakitta Monchelle Woods-dwelle, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Dr. Luisa Rahell Alvarez, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: Corner Of Route N12 And N7, Fort Defiance Hospital Board, Inc., Fort Defiance, AZ 86504
Phone: 951-312-9596    
Ryan Nguyen, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: Indian Rte 7 & Indian Route 12, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Colby Barton, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: P.o. Box 649 Route N12 And N7, Tsehootsooi Medical Center, Fort Defiance, AZ 86504
Phone: 928-729-8925    
Dr. Melissa Marie Walters, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.