Dr Bruce V Lattyak, MD - Medicare Plastic And Reconstructive Surgery in Grass Valley, CA

Dr Bruce V Lattyak, MD is a medicare enrolled "Plastic Surgery" physician in Grass Valley, California. He went to University Of California, San Francisco School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Bruce V Lattyak Md Inc and his current practice location is 300 Sierra College Dr Ste 240, Grass Valley, California. You can reach out to his office (for appointments etc.) via phone at (530) 273-3400.

Dr Bruce V Lattyak is licensed to practice in California (license number A62583) 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 1629245238.

Contact Information

Dr Bruce V Lattyak, MD
300 Sierra College Dr Ste 240,
Grass Valley, CA 95945-5086
(530) 273-3400
(530) 274-3400



Physician's Profile

Full NameDr Bruce V Lattyak
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience29 Years
Location300 Sierra College Dr Ste 240, Grass Valley, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Bruce V Lattyak attended and graduated from University Of California, San Francisco School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1629245238
  • Provider Enumeration Date: 05/13/2008
  • Last Update Date: 08/29/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6002976107
  • Enrollment ID: I20081119000510

Medical Identifiers

Medical identifiers for Dr Bruce V Lattyak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629245238NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery A62583 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sierra Nevada Memorial HospitalGrass valley, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bruce V Lattyak Md Inc24665142452

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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. Dr Bruce V Lattyak allows following entities to bill medicare on his behalf.
Entity NameBruce V Lattyak Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275707424
PECOS PAC ID: 2466514245
Enrollment ID: O20090105000284

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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. Dr Bruce V Lattyak 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
Dr Bruce V Lattyak, MD
300 Sierra College Dr Ste 240,
Grass Valley, CA 95945-5086

Ph: (530) 273-3400
Dr Bruce V Lattyak, MD
300 Sierra College Dr Ste 240,
Grass Valley, CA 95945-5086

Ph: (530) 273-3400

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Plastic Surgery Doctors in Grass Valley, CA


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