WAYNE ARTHUR LATACK MD
NPI 1629288089
Internal Medicine - Nephrology in Biloxi, MS
About Wayne Arthur Latack Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WAYNE ARTHUR LATACK MD (NPI 1629288089) is an individual nephrology provider in Biloxi, Mississippi, licensed in Mississippi (21859) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Wayne Arthur Latack Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Wayne Latack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Biloxi, MS 39532
- Reassigned Medicare billing, Mississippi enrollment
- 731 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital At Gulfport
Acute Care Hospitals · Gulfport, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39534 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KEESLER AFB, MS 39534
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wayne Latack's NPI number?
The NPI number for Wayne Latack is 1629288089. It was assigned to this individual provider in the NPPES registry on May 23, 2007.
Where is Wayne Latack located?
Wayne Latack practices at 301 Fisher St Keesler Afb, Biloxi, MS 39534. The listed phone number is (228) 376-3372.
What is Wayne Latack's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Wayne Latack enrolled in Medicare?
Yes. Wayne Latack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Wayne Latack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wayne Latack reassigns Medicare benefits to Memorial Hospital At Gulfport (Biloxi, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wayne Latack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Wayne Latack accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Wayne Latack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Wayne Latack affiliated with any hospitals?
According to CMS data, Wayne Latack is affiliated with Memorial Hospital At Gulfport.
When was this NPI record last updated?
The NPPES record for Wayne Latack was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Wayne Arthur Latack, MD · NPI 1629288089
Nephrology physician in Biloxi, Mississippi. Individual provider, active in the CMS NPPES registry since May 23, 2007.
## Identity
- **NPI:** 1629288089 (Entity type: Individual)
- **Enumerated:** May 23, 2007
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 21859 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 FISHER ST, KEESLER AFB, Biloxi, MS 39534-2508
- **Phone:** (228) 376-3372 · **Fax:** (228) 376-0125
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Memorial Hospital At Gulfport (NPI 1609203173, Biloxi, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** October 12, 2023
- **Other identifiers:** Other 21859 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1629288089) · Data from the CMS NPPES public registry.