Allexa Licon, in Madison, WI - Medicare Internal Medicine

Allexa Licon, is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Madison, Wisconsin. Her current practice location is 2601 W Beltline Hwy Ste 200, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (082) 872-4346.

Allexa Licon is licensed to practice in Wisconsin (license number 77126-20) 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 1124480405.

Contact Information

	Allexa Licon,
	2601 W Beltline Hwy Ste 200, Madison, WI 53713-2319
	(082) 872-4346
	(608) 287-2182

Map and Direction

Physician's Profile

Full Name	Allexa Licon
Gender	Female
Speciality	Internal Medicine - Cardiovascular Disease
Location	2601 W Beltline Hwy Ste 200, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124480405
Provider Enumeration Date: 03/24/2016
Last Update Date: 09/05/2024

Medicare PECOS Information:

PECOS PAC ID: 8426389404
Enrollment ID: I20220812001523

Medical Identifiers

Medical identifiers for Allexa Licon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124480405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	77126-20 (Wisconsin)	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. Allexa Licon allows following entities to bill medicare on her behalf.

Entity Name	University Of Wisconsin Medical Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435

Entity Name	Mile Bluff Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609912005 PECOS PAC ID: 8527971399 Enrollment ID: O20031205000618

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. Allexa Licon 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
Allexa Licon, 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () -	Allexa Licon, 2601 W Beltline Hwy Ste 200, Madison, WI 53713-2319 Ph: (082) 872-4346

Reviews and Comments

Internal Medicine Doctors in Madison, WI

Prof. Marvin Lyle Birnbaum, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3330 University Ave, Suite 300, Madison, WI 53705 Phone: 608-263-9641 Fax: 608-265-4429
Dr. Medhavani Dhruv Chandra, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400
Yingyu Gao, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400
Jennifer Marie Rydz, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: Uw Health - Gme, 749 University Row Ste 200, Madison, WI 53705 Phone: 608-263-6400
Dr. Sam Joseph Lubner, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-265-1700
Randy S Heidel, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 20 S Park St, Madison, WI 53715 Phone: 608-287-2250 Fax: 608-287-2438
Benjamin Kleiber, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Dean & St. Mary's Outpatient Center, Madison, WI 53715 Phone: 608-260-2900 Fax: 608-260-2956

Allexa Licon, - Medicare Internal Medicine in Madison, WI