Brandon Licht, MD | |
2142 N Cove Blvd, Toledo, OH 43606 | |
(419) 291-4491 | |
(419) 479-6905 |
Full Name | Brandon Licht |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 13 Years |
Location | 2142 N Cove Blvd, Toledo, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811280381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LC0200X | Anesthesiology - Critical Care Medicine | 4301098113 (Michigan) | Secondary |
207L00000X | Anesthesiology | 35136915 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Promedica Toledo Hospital | Toledo, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Promedica Central Physicians | 2365348190 | 827 |
Entity Name | Promedica Central Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
Mailing Address | Practice Location Address |
---|---|
Brandon Licht, MD 2142 N Cove Blvd, Toledo, OH 43606-3895 Ph: (419) 291-4491 | Brandon Licht, MD 2142 N Cove Blvd, Toledo, OH 43606 Ph: (419) 291-4491 |
Rashid Khalil, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4126 N Holland Sylvania Rd, Suite 220, Toledo, OH 43623 Phone: 419-517-7624 Fax: 419-517-7656 | |
Dr. Wei Sun Jueng, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-471-4491 Fax: 419-479-6905 | |
Kevin Raduege, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-3232 | |
Dr. Jay Hammerling, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4491 Fax: 419-479-6905 | |
Jennifer Renee Spitler, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-6530 | |
Dr. Mohamad Almasri, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd # 201, Toledo, OH 43606 Phone: 419-291-1111 Fax: 419-479-3253 | |
Dr. Thomas A Rooney, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 Arlington Ave, Anesthesia, Toledo, OH 43614 Phone: 419-383-3556 Fax: 419-383-3550 |