Mr Micah Latham, APRN-CNP - Medicare Nurse Practitioner in Malvern, AR

Mr Micah Latham, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Malvern, Arkansas. His current practice location is 1208 Brownwood St, Malvern, Arkansas. You can reach out to his office (for appointments etc.) via phone at (540) 446-9297.

Mr Micah Latham is licensed to practice in Arkansas (license number 213314) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730783606.

Contact Information

Mr Micah Latham, APRN-CNP
1208 Brownwood St,
Malvern, AR 72104-2202
(540) 446-9297
Not Available



Provider's Profile

Full NameMr Micah Latham
GenderMale
SpecialityNurse Practitioner - Family
Location1208 Brownwood St, Malvern, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730783606
  • Provider Enumeration Date: 11/23/2020
  • Last Update Date: 11/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5193190296
  • Enrollment ID: I20230403001162

Medical Identifiers

Medical identifiers for Mr Micah Latham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730783606NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 213314 (Arkansas)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. Mr Micah Latham allows following entities to bill medicare on his behalf.
Entity NameIntegrated Care Professionals Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164762662
PECOS PAC ID: 8527200955
Enrollment ID: O20130814000016

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Entity NameIcp Arkansas Aco Billing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679157838
PECOS PAC ID: 8820497886
Enrollment ID: O20210524001681

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› Verified 9 days ago

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 Micah 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 AddressPractice Location Address
Mr Micah Latham, APRN-CNP
1208 Brownwood St,
Malvern, AR 72104-2202

Ph: () -
Mr Micah Latham, APRN-CNP
1208 Brownwood St,
Malvern, AR 72104-2202

Ph: (540) 446-9297

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A team of researchers from Yale School of Public Health and Yale Cancer Center recently published a study in the Journal of Cancer Survivorship that addresses the needs of cancer survivors who are at least nine years beyond an initial diagnosis.

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Read more News

› Verified 9 days ago


Nurse Practitioner Nurses in Malvern, AR

Kendra Roberts, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Walco Ln, Malvern, AR 72104
Phone: 501-467-3400    
Mona Renea Simms, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 850 Henry St, Malvern, AR 72104
Phone: 501-332-5245    
Bethany Cox, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 829 Halbert St, Malvern, AR 72104
Phone: 501-332-4400    
Mrs. Rachel Scrimshire, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1604 Martin Luther King Blvd, Malvern, AR 72104
Phone: 501-732-5400    Fax: 501-325-9650
Brittany Camille Flynn, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1517 S Main St, Malvern, AR 72104
Phone: 501-332-7525    Fax: 501-467-3071
John Mark Bates, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1002 Schneider Dr Ste 104, Malvern, AR 72104
Phone: 501-337-9994    
Briana Lee Newcomb, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1003 Schneider Dr, Malvern, AR 72104
Phone: 888-710-8220    Fax: 866-573-0761

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