Laconia Blalock Bacon, FNP-C in Livingston, TX

Laconia Blalock Bacon, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Livingston, Texas. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Woodrome Medical Pa and her current practice location is 1930 U S Highway 190 W, Livingston, Texas. You can reach out to her office (for appointments etc.) via phone at (936) 327-9944.

Laconia Blalock Bacon is licensed to practice in Texas (license number AP126832) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144628157.

Contact Information

	Laconia Blalock Bacon, FNP-C
	1930 U S Highway 190 W, Livingston, TX 77351-9600
	(936) 327-9944
	Not Available

Map and Direction

Provider's Profile

Full Name	Laconia Blalock Bacon
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	1930 U S Highway 190 W, Livingston, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Laconia Blalock Bacon graduated from nursing school in 2014

NPI Data:

NPI Number: 1144628157
Provider Enumeration Date: 12/08/2014
Last Update Date: 12/08/2014

Medicare PECOS Information:

PECOS PAC ID: 9931428620
Enrollment ID: I20150430001678

Medical Identifiers

Medical identifiers for Laconia Blalock Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144628157	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP126832 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chi St Lukes Health Memorial Livingston	Livingston, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Woodrome Medical Pa	3476553579	10

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. Laconia Blalock Bacon allows following entities to bill medicare on her behalf.

Entity Name	Woodrome Medical Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265460919 PECOS PAC ID: 3476553579 Enrollment ID: O20070112000216

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. Laconia Blalock Bacon 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 Address	Practice Location Address
Laconia Blalock Bacon, FNP-C 1930 U S Highway 190 W, Livingston, TX 77351-9600 Ph: (936) 327-9944	Laconia Blalock Bacon, FNP-C 1930 U S Highway 190 W, Livingston, TX 77351-9600 Ph: (936) 327-9944

Reviews and Comments

Nurse Practitioner Nurses in Livingston, TX

Renella Boullion, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Ogletree Dr, Livingston, TX 77351 Phone: 936-328-8812
Colton Placker, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 296 Jr Phillips Rd, Livingston, TX 77351 Phone: 936-433-1053
Deneesha Jones, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Ogletree Dr, Livingston, TX 77351 Phone: 281-592-6000
Ms. Rebbecca Oliver, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1900 N Washington Ave, Livingston, TX 77351 Phone: 936-327-1015 Fax: 888-815-1346
Mrs. Vivian Ray Sullivan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 Rainbow Dr # 15504, Livingston, TX 77399 Phone: 818-512-1380
Aaron Padron, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 204 Rainbow Dr # 10486, Livingston, TX 77399 Phone: 908-208-8600
Miss Ann Luna, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 219 Eastwood Ave, Livingston, TX 77351 Phone: 936-327-7147 Fax: 936-328-5216

Laconia Blalock Bacon, FNP-C - Medicare Nurse Practitioner in Livingston, TX