WAYNE ARTHUR LATACK MD
NPI 1629288089
Internal Medicine - Nephrology in Biloxi, MS

Q: 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.

Q: What is Wayne Latack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: 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 2 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.

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment

301 FISHER ST, KEESLER AFB, BILOXI, MS 39534(228) 376-3372(228) 376-0125 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2023, Oct 4, 2023, Apr 12, 2018 (3 updates tracked since 2018).

On this page

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

NPI1629288089

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameWAYNE ARTHUR LATACKCredential: MD

Location Address301 FISHER ST, KEESLER AFBBiloxi, MS 39534-2508

Mailing Address301 Fisher St, Keesler AfbBiloxi, MS 39534-2508 · (228) 376-3372

Phone(228) 376-3372

Fax(228) 376-0125

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMay 23, 2007

Last NPPES UpdateOctober 12, 20233 updates tracked since enumeration

✔ NPI 1629288089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in MS · 21859

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedHospitalistTaxonomy 208M00000X · License 21859 (MS)

301 FISHER ST, Biloxi, MS 39534

Open in Google Maps ↗

Other Identifiers 1

Other21859MS · Medical Licensure

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8022299593

PECOS Enrollment IDI20110217000213

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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, MS

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250019

Location4500 13th StreetGulfport, MS 39502 · Harrison County

Emergency services Birthing friendly

Physician 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.

New Patient

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. CHRISTINA MARIE DUKES PHARMD

Pharmacist (Oncology)

301 FISHER ST, KEESLER AFB
KEESLER AFB, MS 39534

Harrison County (228) 376-4637

DR. BRICE PETER BOWERMAN MD

Radiology (Diagnostic Radiology)

301 FISHER ST
BILOXI, MS 39534

Harrison County (678) 394-6561

BENNETT ALAN LUCAS MD

Military Health Care Provider

301 FISHER ST
BILOXI, MS 39534

Harrison County (228) 376-2273

DR. DAVID MAX JONES D.D.S.

Dentist (General Practice)

301 FISHER ST
KEESLER AFB, MS 39534

Harrison County (228) 376-0512

JILL ALLYN JOZEFOWICZ DO

Surgery

301 FISHER ST
KEESLER AFB, MS 39534

Harrison County (228) 376-0425

DR. JOSEPH CAMORATTO DPT

Physical Therapist

301 FISHER ST
BILOXI, MS 39534

Harrison County (228) 376-5231

KYLE QUIST

Internal Medicine

301 FISHER ST
BILOXI, MS 39534

Harrison County (601) 988-4698

YVONNE MARIE SCULLEY MD

Obstetrics & Gynecology

301 FISHER ST
KEESLER AFB, MS 39534

Harrison County (228) 376-4118

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.

What insurance does Wayne Latack accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers 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 2 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.