VIVIAN BILASANO MD LLC
NPI 1639559750
Clinic/Center - Primary Care in Pembroke Pines, FL
About Vivian Bilasano Md Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIVIAN BILASANO MD LLC (NPI 1639559750), doing business as Bck Primecare, is a healthcare organization registered as a primary care in Pembroke Pines, Florida and active in the NPI registry since June 2015. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Miramar, and lists Vivian Bilasano, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Secondary Practice Location 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vivian Bilasano Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Vivian Bilasano MD LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2168940
Vivian Bilasano MD LLC Dba Bck Primecare · Pembroke Pines, FLCertificate of Waiver 10D2097711
Vivian Bilasano MD LLC Dba Bck Primecare · Miramar, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Vivian Bilasano MD LLC's NPI number?
The NPI number for Vivian Bilasano MD LLC is 1639559750. It was assigned to this organization in the NPPES registry on June 3, 2015. The provider is doing business as BCK PrimeCARE and BCK Wellness.
Where is Vivian Bilasano MD LLC located?
Vivian Bilasano MD LLC is located at 17913 NW 7th St Ste 101, Pembroke Pines, FL 33029. The listed phone number is (954) 320-7999.
What is Vivian Bilasano MD LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Vivian Bilasano MD LLC enrolled in Medicare?
Yes. Vivian Bilasano MD LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vivian Bilasano MD LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Vivian Bilasano MD LLC, in Family Practice and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Vivian Bilasano MD LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Vivian Bilasano MD LLC accept?
Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Vivian Bilasano MD LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Vivian Bilasano MD LLC was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vivian Bilasano Md Llc · NPI 1639559750
Primary Care organization in Pembroke Pines, Florida. Organization record, active in the CMS NPPES registry since June 3, 2015.
## Identity
- **NPI:** 1639559750 (Entity type: Organization)
- **Enumerated:** June 3, 2015
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** BCK PrimeCARE (Doing Business As); BCK Wellness (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Vivian Bilasano, MD
## Practice location
- **Address:** 17913 NW 7TH ST STE 101, Pembroke Pines, FL 33029-2811
- **Phone:** (954) 320-7999 · **Fax:** (954) 320-7601
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2026
- **Other identifiers:** Medicaid 257505100 (FL); Other 1821002825; Other 1316140262 (FL); and 1 more
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639559750) · Data from the CMS NPPES public registry.