Mrs Latasha Washington, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Sallis, Mississippi. Her current practice location is
4534 Attala Road 4110, Sallis, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 739-3476.
Mrs Latasha Washington is licensed to practice in Mississippi (license number S3518) 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 1710220322.
Healthcare Provider's Profile
Full Name | Mrs Latasha Washington |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 4534 Attala Road 4110, Sallis, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710220322
- Provider Enumeration Date: 04/02/2013
- Last Update Date: 06/28/2013
Medicare PECOS Information:
- PECOS PAC ID: 0143682237
- Enrollment ID: I20230822002241
Medical Identifiers
Medical identifiers for Mrs Latasha Washington such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710220322 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | S3518 (Mississippi) | 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. Mrs Latasha Washington allows following entities to bill medicare on her behalf.
Provider Name | Premier Medical Group Of Mississippi Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1790827038 PECOS PAC ID: 8729973623 Enrollment ID: O20040219000254 |
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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. Mrs Latasha Washington 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 |
Mrs Latasha Washington, MS CCC-SLP 4534 Attala Road 4110, Sallis, MS 39160-5783 Ph: () - | Mrs Latasha Washington, MS CCC-SLP 4534 Attala Road 4110, Sallis, MS 39160-5783 Ph: (662) 739-3476 |
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