MS. JENNIFER THUY KHANH LATEY (PA-C) – Medical Physician Assistant, NPI 1245310770
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. JENNIFER THUY KHANH LATEY (PA-C)
750, Federal Highway, Barwal, Deerfield Beach, Broward County, Florida, 33441, United States
DEERFIELD BEACH, FL 334415767
Phone: (954) 421-8181
Fax: (954) 426-2967
Type: Location
10617, Southwest 6th Street, Pembroke Pines, Broward County, Florida, 33025, United States
PEMBROKE PINES, FL 330256903
Phone: (305) 788-3927
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-09-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070608000382 | I | Physician Assistant | FL | TBD |
| I20170928003555 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 42 | 42 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 39 | 37 | $0 |
Insurance plans in this area (ZIP 33441)
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