Larissa Renee Bannon, in Allentown, PA - Medicare Audiologist Provider

Larissa Renee Bannon, is a medicare enrolled "Audiologist" provider in Allentown, Pennsylvania. Her current practice location is 1575 Pond Rd Ste 203, Allentown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 366-1366.

Larissa Renee Bannon is licensed to practice in Pennsylvania (license number AT007075) 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 1174200851.

Contact Information

	Larissa Renee Bannon,
	1575 Pond Rd Ste 203, Allentown, PA 18104-2254
	(610) 366-1366
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Larissa Renee Bannon
Gender	Female
Speciality	Audiologist
Location	1575 Pond Rd Ste 203, Allentown, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174200851
Provider Enumeration Date: 07/03/2023
Last Update Date: 12/03/2025

Medicare PECOS Information:

PECOS PAC ID: 6709231095
Enrollment ID: I20231005002602

Medical Identifiers

Medical identifiers for Larissa Renee Bannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174200851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	2109 (Tennessee)	Secondary
231H00000X	Audiologist	AT007075 (Pennsylvania)	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. Larissa Renee Bannon allows following entities to bill medicare on her behalf.

Provider Name	Vanderbilt University Medical Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369

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. Larissa Renee Bannon 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
Larissa Renee Bannon, 2100 Mack Blvd Fl 4, Allentown, PA 18103-5622 Ph: (484) 884-4500	Larissa Renee Bannon, 1575 Pond Rd Ste 203, Allentown, PA 18104-2254 Ph: (610) 366-1366

Reviews and Comments

Audiologist in Allentown, PA

Lisa Ann Parliman, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1575 Pond Rd Ste 203, Allentown, PA 18104 Phone: 610-366-1366 Fax: 610-366-7412
Dr. Abigail Susanna Ramsaroop, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1245 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 484-957-2770 Fax: 484-957-2799
Lehigh Valley Better Balance Inc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2015 W Hamilton St, Allentown, PA 18104 Phone: 484-619-3238
Edith Dong, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1245 S Cedar Crest Blvd Ste 101, Allentown, PA 18103 Phone: 484-957-2770 Fax: 484-957-2799
Dr. Peter David Kleckner, AU.D Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3131 College Heights Blvd, Allentown, PA 18104 Phone: 610-435-8299
Emily Golosky, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3050 Hamilton Blvd Ste 210, Allentown, PA 18103 Phone: 610-395-8224

Larissa Renee Bannon, - Medicare Audiologist in Allentown, PA