Timothy Pinetree Larsen, DNP in North Fort Myers, FL

Timothy Pinetree Larsen, DNP is a medicare enrolled "Nurse Practitioner - Adult Health" in North Fort Myers, Florida. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Legacy Healthcare Services Inc, Millennium Physician Group Llc and his current practice location is 3434 Hancock Bridge Pkwy Ste 309, North Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (855) 674-8800.

Timothy Pinetree Larsen is licensed to practice in Florida (license number APRN3307382) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770926032.

Contact Information

	Timothy Pinetree Larsen, DNP
	3434 Hancock Bridge Pkwy Ste 309, North Fort Myers, FL 33903-7099
	(855) 674-8800
	(239) 599-4126

Map and Direction

Provider's Profile

Full Name	Timothy Pinetree Larsen
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	3434 Hancock Bridge Pkwy Ste 309, North Fort Myers, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Timothy Pinetree Larsen graduated from nursing school in 2013

NPI Data:

NPI Number: 1770926032
Provider Enumeration Date: 04/16/2013
Last Update Date: 08/26/2020

Medicare PECOS Information:

PECOS PAC ID: 9739327875
Enrollment ID: I20190208001178

Medical Identifiers

Medical identifiers for Timothy Pinetree Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770926032	NPI	-	NPPES
104893800	Medicaid	FL
YC9Q0	Other	FL	BCBS
LD356	Other	FL	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	COA.14394-NP (Ohio)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	APRN3307382 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Millennium Home Care Llc	Port charlotte, FL	Home health agency
Bayfront Health - St Petersburg	Saint petersburg, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Healthcare Services Inc	2163339722	3341
Millennium Physician Group Llc	9830244433	789

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. Timothy Pinetree Larsen allows following entities to bill medicare on his behalf.

Entity Name	Millennium Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338

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. Timothy Pinetree 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 Address	Practice Location Address
Timothy Pinetree Larsen, DNP 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774	Timothy Pinetree Larsen, DNP 3434 Hancock Bridge Pkwy Ste 309, North Fort Myers, FL 33903-7099 Ph: (855) 674-8800

Reviews and Comments

Nurse Practitioner Nurses in North Fort Myers, FL

Jordyn Bodkin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 83 Pondella Rd, North Fort Myers, FL 33903 Phone: 239-461-6100
Taylor Fitori Marrapese, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13279 N Cleveland Ave, North Fort Myers, FL 33903 Phone: 239-652-4111
Susan M Samerdyke, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13279 N Cleveland Ave, North Fort Myers, FL 33903 Phone: 239-652-4111 Fax: 239-652-4105
Laura Ann Sieben, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3434 Hancock Bridge Pkwy, North Fort Myers, FL 33903 Phone: 877-856-3774 Fax: 239-599-2612
Raisa Diaz Guerrero, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1129 Travis Ave, North Fort Myers, FL 33903 Phone: 239-308-3051
Robert A Marrero, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 535 Pine Island Rd Ste M, North Fort Myers, FL 33903 Phone: 239-278-3600 Fax: 239-275-9159
Ms. Tracy Michelle Dzugan, MS,FNP,PMHNP-BC,APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15201 N Cleveland Ave Ste 1010, North Fort Myers, FL 33903 Phone: 833-674-2500 Fax: 239-599-4126

Timothy Pinetree Larsen, DNP - Medicare Nurse Practitioner in North Fort Myers, FL