Tiana Mari Larsow, MD - Medicare Family Practice in Bridgeport, CT

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Tiana Mari Larsow, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Bridgeport, Connecticut. She graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice St. Vincents Urgent Care Llc and her current practice location is 2800 Main St, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 576-6000.

Tiana Mari Larsow is licensed to practice in Connecticut (license number 56217) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1841533858.

Contact Information

Tiana Mari Larsow, MD
2800 Main St,
Bridgeport, CT 06606-4292
(203) 576-6000
Not Available

Map and Direction




Physician's Profile

Full NameTiana Mari Larsow
GenderFemale
SpecialityFamily Practice
Experience13 Years
Location2800 Main St, Bridgeport, Connecticut
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tiana Mari Larsow graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1841533858
  • Provider Enumeration Date: 03/28/2013
  • Last Update Date: 05/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4284921800
  • Enrollment ID: I20170922001593

Medical Identifiers

Medical identifiers for Tiana Mari Larsow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841533858NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 56217 (Connecticut)Secondary
207QS0010XFamily Medicine - Sports Medicine 56217 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St. Vincent's Medical CenterBridgeport, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. Vincents Urgent Care Llc690111976745

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. Tiana Mari Larsow allows following entities to bill medicare on her behalf.
Entity NameGriffin Faculty Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598755605
PECOS PAC ID: 7618871997
Enrollment ID: O20031120000158
Entity NameSt. Vincent's Multispecialty Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043544489
PECOS PAC ID: 6204977218
Enrollment ID: O20100112000538
Entity NameHartford Healthcare Medical Group Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023584216
PECOS PAC ID: 3173866241
Enrollment ID: O20190514001441

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. Tiana Mari Larsow 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
Tiana Mari Larsow, MD
1290 Silas Deane Hwy, Hhc-cvo,
Wethersfield, CT 06109-4337

Ph: () -		Tiana Mari Larsow, MD
2800 Main St,
Bridgeport, CT 06606-4292

Ph: (203) 576-6000

Reviews and Comments


Family Medicine Doctors in Bridgeport, CT

Dr. Frank Raymond Scifo, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2800 Main St, Bridgeport, CT 06606
Phone: 203-576-5986    Fax: 203-576-6020
Dr. John P Iannarone, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4600 Main St, Bridgeport, CT 06606
Phone: 203-371-4445    
Laura Belland, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-3000    
Dr. Maria Mikolaenko, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2979 Main St, Bridgeport, CT 06606
Phone: 203-382-2345    Fax: 203-366-0868
Dennis Williams, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1381 Reservoir Ave, Bridgeport, CT 06606
Phone: 203-371-5197    Fax: 203-371-6118
David F Altamirano, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 2800 Main St, Bridgeport, CT 06606
Phone: 203-576-6000    
Dr. Monika Kaul, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 64 Black Rock Ave, Bridgeport, CT 06605
Phone: 203-579-5000    Fax: 203-579-5113

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.