Larisa G Basa, in Park Ridge, IL - Medicare Nurse Practitioner

Larisa G Basa, is a medicare enrolled "Nurse Practitioner - Family" in Park Ridge, Illinois. Her current practice location is 1675 W Dempster St, Park Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 723-9470.

Larisa G Basa is licensed to practice in Illinois (license number 209.024855) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336884493.

Contact Information

	Larisa G Basa,
	1675 W Dempster St, Park Ridge, IL 60068-1110
	(847) 723-9470
	Not Available

Map and Direction

Provider's Profile

Full Name	Larisa G Basa
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1675 W Dempster St, Park Ridge, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336884493
Provider Enumeration Date: 05/03/2022
Last Update Date: 12/22/2022

Medicare PECOS Information:

PECOS PAC ID: 7517346711
Enrollment ID: I20220617001938

Medical Identifiers

Medical identifiers for Larisa G Basa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336884493	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.024855 (Illinois)	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. Larisa G Basa allows following entities to bill medicare on her behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

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. Larisa G Basa 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
Larisa G Basa, 29373 Network Pl, Chicago, IL 60673-2926 Ph: (847) 390-5900	Larisa G Basa, 1675 W Dempster St, Park Ridge, IL 60068-1110 Ph: (847) 723-9470

Reviews and Comments

Nurse Practitioner Nurses in Park Ridge, IL

Michal Ora Mendelsberg, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Devon Ave, Park Ridge, IL 60068 Phone: 800-323-8622 Fax: 224-225-0374
Amy Miner, APN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St, Park Ridge, IL 60068 Phone: 844-725-5238 Fax: 847-723-2791
Oluwatosin Olayeye, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1775 Dempster St Ste Aip, Park Ridge, IL 60068 Phone: 773-895-5075
Marina Makovetskaia, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St, #936, Park Ridge, IL 60068 Phone: 847-723-8815
Marlene Varnavas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Dempster St Ste 120, Park Ridge, IL 60068 Phone: 847-299-7888
Mrs. Gina Marie Palm, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1675 Dempster St Fl 1, Park Ridge, IL 60068 Phone: 847-318-9300 Fax: 847-723-9583
Cynthia Kane, MS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St Ste 180, Park Ridge, IL 60068 Phone: 844-725-5238 Fax: 847-723-2791

Larisa G Basa, - Medicare Nurse Practitioner in Park Ridge, IL