Vivian Larson, APRN, AGACNP-BC in Houston, TX

Vivian Larson, APRN, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Houston, Texas. Her current practice location is 1200 Binz St Ste 900, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (713) 522-0220.

Vivian Larson is licensed to practice in Texas (license number 1110423) 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 1134826654.

Contact Information

	Vivian Larson, APRN, AGACNP-BC
	1200 Binz St Ste 900, Houston, TX 77004-6938
	(713) 522-0220
	(713) 522-0232

Map and Direction

Provider's Profile

Full Name	Vivian Larson
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1200 Binz St Ste 900, Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134826654
Provider Enumeration Date: 02/15/2023
Last Update Date: 09/20/2023

Medicare PECOS Information:

PECOS PAC ID: 2163887092
Enrollment ID: I20230428001797

Medical Identifiers

Medical identifiers for Vivian Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134826654	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1110423 (Texas)	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. Vivian Larson allows following entities to bill medicare on her behalf.

Entity Name	Baylor St Lukes Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740485879 PECOS PAC ID: 9133213192 Enrollment ID: O20070920000863

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. Vivian Larson 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
Vivian Larson, APRN, AGACNP-BC 124 Mcgoey Cir, Conroe, TX 77384-2129 Ph: (281) 387-2165	Vivian Larson, APRN, AGACNP-BC 1200 Binz St Ste 900, Houston, TX 77004-6938 Ph: (713) 522-0220

Reviews and Comments

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Vivian Larson, APRN, AGACNP-BC - Medicare Nurse Practitioner in Houston, TX