Mr Jeffrey D Latz, PT in Santa Rosa, CA - Medicare Physical Therapy Provider

Mr Jeffrey D Latz, PT is a medicare enrolled "Physical Therapist" provider in Santa Rosa, California. He graduated from medical school in 1998 and has 27 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Backtogolf Performance And Fitness Inc and his current practice location is 208 Concourse Blvd Ste 2, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 303-4992.

Mr Jeffrey D Latz is licensed to practice in California (license number PT25497) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497850598.

Contact Information

	Mr Jeffrey D Latz, PT
	208 Concourse Blvd Ste 2, Santa Rosa, CA 95403-8210
	(707) 303-4992
	(707) 303-4996

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jeffrey D Latz
Gender	Male
Speciality	Physical Therapy
Experience	27 Years
Location	208 Concourse Blvd Ste 2, Santa Rosa, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jeffrey D Latz graduated from medical school in 1998

NPI Data:

NPI Number: 1497850598
Provider Enumeration Date: 09/13/2006
Last Update Date: 02/08/2020

Medicare PECOS Information:

PECOS PAC ID: 6507030558
Enrollment ID: I20111201000191

Medical Identifiers

Medical identifiers for Mr Jeffrey D Latz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497850598	NPI	-	NPPES
ZZZ00793Z	Other	CA	BLUE SHIELD PROV ID #
ZZZ23118Z	Other	CA	MEDICARE GRP ID#

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT25497 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Backtogolf Performance And Fitness Inc	2961457304	4

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 Jeffrey D Latz allows following entities to bill medicare on his behalf.

Provider Name	Backtogolf Performance & Fitness Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669571188 PECOS PAC ID: 2961457304 Enrollment ID: O20050317000907

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 Jeffrey D Latz 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
Mr Jeffrey D Latz, PT Po Box 10, Windsor, CA 95492-0010 Ph: (707) 837-7980	Mr Jeffrey D Latz, PT 208 Concourse Blvd Ste 2, Santa Rosa, CA 95403-8210 Ph: (707) 303-4992

Reviews and Comments

Physical Therapist in Santa Rosa, CA

Nicholas Pasadis, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1400 N Dutton Ave Ste 1, Santa Rosa, CA 95401 Phone: 707-523-2848
Ms. Deborah Mary Stewart, BSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 181 Leisure Park Cir, Santa Rosa, CA 95401 Phone: 707-695-5008
Kurt Falkenberg, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, East Building, Suite 190, Santa Rosa, CA 95403 Phone: 707-571-3352
Patrick K Kam, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2798 Yulupa Ave, #1, Santa Rosa, CA 95405 Phone: 707-527-4001
Ms. Rhodan Vignaud, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3559 Round Barn Circle, Kaiser Permanente, Santa Rosa, CA 95403 Phone: 707-571-3921
Dr. Christina Leisen, P.T., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 532 Sonoma Ave Apt A, Santa Rosa, CA 95401 Phone: 707-217-9157
Jeffrey Peter Franceschi, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2448 Guerneville Rd, Suite 300, Santa Rosa, CA 95403 Phone: 707-573-8202 Fax: 707-573-8204

Mr Jeffrey D Latz, PT - Medicare Physical Therapist in Santa Rosa, CA