Mrs Gladys Larsen, FNP - Medicare Nurse Practitioner in Tinley Park, IL

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Mrs Gladys Larsen, FNP is a medicare enrolled "Nurse Practitioner" in Tinley Park, Illinois. Her current practice location is 7901 W 159th St Ste B, Tinley Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 279-9814.

Mrs Gladys Larsen is licensed to practice in Illinois (license number 277.001014) 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 1174974661.

Contact Information

Mrs Gladys Larsen, FNP
7901 W 159th St Ste B,
Tinley Park, IL 60477-1881
(312) 279-9814
Not Available

Map and Direction




Provider's Profile

Full NameMrs Gladys Larsen
GenderFemale
SpecialityNurse Practitioner
Location7901 W 159th St Ste B, Tinley Park, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174974661
  • Provider Enumeration Date: 06/26/2016
  • Last Update Date: 06/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2567746738
  • Enrollment ID: I20170307001986

Medical Identifiers

Medical identifiers for Mrs Gladys Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174974661NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209014371 (Illinois)Secondary
363L00000XNurse Practitioner 277.001014 (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. Mrs Gladys Larsen allows following entities to bill medicare on her behalf.
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174925663
PECOS PAC ID: 9234041948
Enrollment ID: O20040312001189
Entity NameTransitions Home Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871890657
PECOS PAC ID: 7315124112
Enrollment ID: O20110603000274
Entity NameProsper Health And Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619572419
PECOS PAC ID: 0446654529
Enrollment ID: O20210811003153
Entity NameInfinite Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407483175
PECOS PAC ID: 8325477656
Enrollment ID: O20230405002468
Entity NameCmc Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295432334
PECOS PAC ID: 4688039209
Enrollment ID: O20230503001140

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. Mrs Gladys Larsen 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 AddressPractice Location Address
Mrs Gladys Larsen, FNP
7901 W 159th St Ste B,
Tinley Park, IL 60477-1881

Ph: (312) 279-9814		Mrs Gladys Larsen, FNP
7901 W 159th St Ste B,
Tinley Park, IL 60477-1881

Ph: (312) 279-9814

Reviews and Comments


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John Raju,
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Cynthia Ann Oneill, APRN
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Donna Boettge, APNP
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Phone: 888-938-3838    Fax: 888-919-1083

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.