Latasha Ann-pegram Dunford, AGACNP-BC - Medicare Nurse Practitioner in Charlottesville, VA

Latasha Ann-pegram Dunford, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Charlottesville, Virginia. Her current practice location is 500 Ray C Hunt Dr Fl 3, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 924-2224.

Latasha Ann-pegram Dunford is licensed to practice in Virginia (license number 0024175048) 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 1720505019.

Contact Information

Latasha Ann-pegram Dunford, AGACNP-BC
500 Ray C Hunt Dr Fl 3,
Charlottesville, VA 22903-2981
(434) 924-2224
(434) 982-3652



Physician's Profile

Full NameLatasha Ann-pegram Dunford
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location500 Ray C Hunt Dr Fl 3, Charlottesville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720505019
  • Provider Enumeration Date: 08/28/2017
  • Last Update Date: 03/08/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6800143736
  • Enrollment ID: I20180723002900

Medical Identifiers

Medical identifiers for Latasha Ann-pegram Dunford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720505019NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 0024175048 (Virginia)Secondary
363LA2100XNurse Practitioner - Acute Care 0024175048 (Virginia)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. Latasha Ann-pegram Dunford allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Virginia Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033138250
PECOS PAC ID: 4880590728
Enrollment ID: O20040102000780

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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. Latasha Ann-pegram Dunford 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
Latasha Ann-pegram Dunford, AGACNP-BC
Po Box 9007,
Charlottesville, VA 22906-9007

Ph: () -
Latasha Ann-pegram Dunford, AGACNP-BC
500 Ray C Hunt Dr Fl 3,
Charlottesville, VA 22903-2981

Ph: (434) 924-2224

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