Vivian Nia Koufogazos, PA-C - Medicare Physician Assistant in Lutz, FL

Vivian Nia Koufogazos, PA-C is a medicare enrolled "Physician Assistant" in Lutz, Florida. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is 18981 N Dale Mabry Hwy, Lutz, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 388-5922.

Vivian Nia Koufogazos is licensed to practice in Florida (license number PA9118111) 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 1083480636.

Contact Information

Vivian Nia Koufogazos, PA-C
18981 N Dale Mabry Hwy,
Lutz, FL 33548-4981
(813) 388-5922
Not Available

Map and Direction




Provider's Profile

Full NameVivian Nia Koufogazos
GenderFemale
SpecialityPhysician Assistant
Experience2 Years
Location18981 N Dale Mabry Hwy, Lutz, Florida
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:
  • Vivian Nia Koufogazos graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1083480636
  • Provider Enumeration Date: 11/27/2023
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426579657
  • Enrollment ID: I20250305000033

Medical Identifiers

Medical identifiers for Vivian Nia Koufogazos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083480636NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9118111 (Florida)Primary

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 Nia Koufogazos 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
Vivian Nia Koufogazos, PA-C
18981 N Dale Mabry Hwy,
Lutz, FL 33548-4981

Ph: () -
Vivian Nia Koufogazos, PA-C
18981 N Dale Mabry Hwy,
Lutz, FL 33548-4981

Ph: (813) 388-5922

Reviews and Comments


Physician Assistant Nurses in Lutz, FL

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James D Cardinale, PA-C
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Mr. Matthew Ryan Smith, PA-C
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Ky Dau, PA-C
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Practice Location: 5332 Van Dyke Rd, Lutz, FL 33558
Phone: 813-960-1200    Fax: 813-441-7555

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.