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

Tiana Mari Larsow, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Shelton, Connecticut. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Griffin Faculty Physicians Inc and her current practice location is 110 Commerce Dr, Shelton, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 929-7331.

Tiana Mari Larsow is licensed to practice in Connecticut (license number 56217) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841533858.

Contact Information

	Tiana Mari Larsow, MD
	110 Commerce Dr, Shelton, CT 06484-6244
	(203) 929-7331
	(203) 925-0330

Map and Direction

Physician's Profile

Full Name	Tiana Mari Larsow
Gender	Female
Speciality	Family Practice
Experience	12 Years
Location	110 Commerce Dr, Shelton, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any 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: 04/30/2021

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.

Identifier	Type	State	Issuer
1841533858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	56217 (Connecticut)	Secondary
207QS0010X	Family Medicine - Sports Medicine	56217 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St. Vincent's Medical Center	Bridgeport, CT	Hospital
Griffin Hospital	Derby, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Griffin Faculty Physicians Inc	7618871997	107

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 Name	Griffin Faculty Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598755605 PECOS PAC ID: 7618871997 Enrollment ID: O20031120000158

Entity Name	St. Vincent's Multispecialty Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043544489 PECOS PAC ID: 6204977218 Enrollment ID: O20100112000538

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice Location Address
Tiana Mari Larsow, MD 67 Maple Ave, Derby, CT 06418-1328 Ph: (203) 732-1256	Tiana Mari Larsow, MD 110 Commerce Dr, Shelton, CT 06484-6244 Ph: (203) 929-7331

Reviews and Comments

Family Medicine Doctors in Shelton, CT

Mrs. Brittany Herman, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 887 Bridgeport Ave, Shelton, CT 06484 Phone: 203-225-6020
Dr. Saroja Koneswaran, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 21 Huntington Plaza, Shelton, CT 06484 Phone: 203-929-6358 Fax: 203-929-3826
Dr. Elizabeth Arbia, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Commerce Dr, Shelton, CT 06484 Phone: 203-929-7331 Fax: 203-925-0330
Stephanie J Rowe, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 887 Bridgeport Ave, Shelton, CT 06484 Phone: 203-225-6020 Fax: 203-384-3829
Dr. Kenneth Ward, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Commerce Dr, Shelton, CT 06484 Phone: 203-929-7331 Fax: 203-925-0330
Dr. Fadeke O Longe, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4 Corporate Dr, Shelton, CT 06484 Phone: 203-225-0375
Dr. Bharvi Ashok Balar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 224 Leavenworth Rd, Shelton, CT 06484 Phone: 203-926-1206 Fax: 203-926-0413

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