Carolyn Latham, DPT in San Anselmo, CA - Medicare Physical Therapist Provider

Carolyn Latham, DPT is a medicare enrolled "Physical Therapist" provider in San Anselmo, California. Her current practice location is 14 Kientz Ln, San Anselmo, California. You can reach out to her office (for appointments etc.) via phone at (615) 604-5367.

Carolyn Latham is licensed to practice in California (license number PT298393) 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 1205246071.

Contact Information

	Carolyn Latham, DPT
	14 Kientz Ln, San Anselmo, CA 94960-2163
	(615) 604-5367
	(415) 492-1925

Map and Direction

Healthcare Provider's Profile

Full Name	Carolyn Latham
Gender	Female
Speciality	Physical Therapist
Location	14 Kientz Ln, San Anselmo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205246071
Provider Enumeration Date: 05/02/2014
Last Update Date: 04/15/2022

Medicare PECOS Information:

PECOS PAC ID: 2062786551
Enrollment ID: I20170921003318

Medical Identifiers

Medical identifiers for Carolyn Latham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205246071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	036762 (New York)	Secondary
2251X0800X	Physical Therapist - Orthopedic	0016119 (Colorado)	Secondary
225100000X	Physical Therapist	PT298393 (California)	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. Carolyn Latham allows following entities to bill medicare on her behalf.

Provider Name	Outreach Physical & Occupational Therapy & Speech Rehabilitation, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841526399 PECOS PAC ID: 2365582665 Enrollment ID: O20091217000370

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. Carolyn Latham 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
Carolyn Latham, DPT 14 Kientz Ln, San Anselmo, CA 94960-2163 Ph: (615) 604-5367	Carolyn Latham, DPT 14 Kientz Ln, San Anselmo, CA 94960-2163 Ph: (615) 604-5367

Reviews and Comments

Physical Therapist in San Anselmo, CA

Erika Nicole Lindland, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 Greenfield Ave, San Anselmo, CA 94960 Phone: 415-457-4454
Sport & Spine Therapy Of Marin Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 220 Greenfield Ave, San Anselmo, CA 94960 Phone: 415-457-4454 Fax: 415-457-4944
Jason Antone Santos, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 Greenfield Ave, San Anselmo, CA 94960 Phone: 415-457-4454 Fax: 415-457-4944
Ms. Andrea H Roussos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 180 Los Angeles Blvd, San Anselmo, CA 94960 Phone: 141-525-9028
Dr. Jeremy Roger, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 220 Greenfield Ave, San Anselmo, CA 94960 Phone: 415-457-4454
Taylor Sloat, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 220 Greenfield Ave, San Anselmo, CA 94960 Phone: 415-457-4454

Carolyn Latham, DPT - Medicare Physical Therapist in San Anselmo, CA