Laconia Blalock Bacon, FNP-C in Livingston, TX

Laconia Blalock Bacon, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Livingston, Texas. Her current practice location is 1930 U S Highway 190 W, Livingston, Texas. You can reach out to her office (for appointments etc.) via phone at (936) 327-9944.

Laconia Blalock Bacon is licensed to practice in Texas (license number AP126832) 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 1144628157.

Contact Information

	Laconia Blalock Bacon, FNP-C
	1930 U S Highway 190 W, Livingston, TX 77351-9600
	(936) 327-9944
	Not Available

Map and Direction

Provider's Profile

Full Name	Laconia Blalock Bacon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1930 U S Highway 190 W, Livingston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144628157
Provider Enumeration Date: 12/08/2014
Last Update Date: 12/08/2014

Medicare PECOS Information:

PECOS PAC ID: 9931428620
Enrollment ID: I20150430001678

Medical Identifiers

Medical identifiers for Laconia Blalock Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144628157	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP126832 (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. Laconia Blalock Bacon allows following entities to bill medicare on her behalf.

Entity Name	Woodrome Medical Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265460919 PECOS PAC ID: 3476553579 Enrollment ID: O20070112000216

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. Laconia Blalock Bacon 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
Laconia Blalock Bacon, FNP-C 1930 U S Highway 190 W, Livingston, TX 77351-9600 Ph: (936) 327-9944	Laconia Blalock Bacon, FNP-C 1930 U S Highway 190 W, Livingston, TX 77351-9600 Ph: (936) 327-9944

Reviews and Comments

Nurse Practitioner Nurses in Livingston, TX

Renella Boullion, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Ogletree Dr, Livingston, TX 77351 Phone: 936-328-8812
Colton Placker, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 296 Jr Phillips Rd, Livingston, TX 77351 Phone: 936-433-1053
Deneesha Jones, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Ogletree Dr, Livingston, TX 77351 Phone: 281-592-6000
Ms. Rebbecca Oliver, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 N Washington Ave, Livingston, TX 77351 Phone: 936-327-1015 Fax: 888-815-1346
Mrs. Vivian Ray Sullivan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 Rainbow Dr # 15504, Livingston, TX 77399 Phone: 818-512-1380
Aaron Padron, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Rainbow Dr # 10486, Livingston, TX 77399 Phone: 908-208-8600
Reyna Orizaba, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 Us 59 Loop North, Livingston, TX 77351 Phone: 936-329-8700

Laconia Blalock Bacon, FNP-C - Medicare Nurse Practitioner in Livingston, TX