Brian Michael Licht, MD in New York, NY

Brian Michael Licht, MD is a medicare enrolled "Anesthesiology" physician in New York, New York. His current practice location is 1 Gustave L Levy Pl, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 241-6426.

Brian Michael Licht is licensed to practice in New York (license number 332183) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366903809.

Contact Information

	Brian Michael Licht, MD
	1 Gustave L Levy Pl, New York, NY 10029-6504
	(212) 241-6426
	(212) 876-3906

Map and Direction

Physician's Profile

Full Name	Brian Michael Licht
Gender	Male
Speciality	Anesthesiology
Location	1 Gustave L Levy Pl, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366903809
Provider Enumeration Date: 03/27/2019
Last Update Date: 09/24/2024

Medicare PECOS Information:

PECOS PAC ID: 9032440532
Enrollment ID: I20240327002916

Medical Identifiers

Medical identifiers for Brian Michael Licht such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366903809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	A189924 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207L00000X	Anesthesiology	332183 (New York)	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. Brian Michael Licht allows following entities to bill medicare on his behalf.

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	University Anesthesia Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528137296 PECOS PAC ID: 2769370535 Enrollment ID: O20040304001219

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

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. Brian Michael Licht 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
Brian Michael Licht, MD Po Box 5024, New York, NY 10087-5024 Ph: (800) 627-4470	Brian Michael Licht, MD 1 Gustave L Levy Pl, New York, NY 10029-6504 Ph: (212) 241-6426

Reviews and Comments

Anesthesiology Doctors in New York, NY

Dr. Jason H Epstein, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 423 E 23rd St, New York, NY 10010 Phone: 212-686-7500
Dr. Aisha Baqai, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 525 E 68th St # M-312, New York, NY 10065 Phone: 212-746-2941 Fax: 212-746-8713
Dr. Donna Bracken, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 506 Malcolm X Blvd, New York, NY 10037 Phone: 212-939-1000
Michael Newman Singleton, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 535 E 70th St, New York, NY 10021 Phone: 212-606-1036
Dr. Thor Lidasan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 462 1st Ave # A-560, New York, NY 10016 Phone: 212-562-2300 Fax: 212-562-3486
Kenneth H Jacobson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-5072
Roni Mendonca, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Metropolitan Hospital, 1901 1st Ave 5 South 2, New York, NY 10029 Phone: 212-423-7095

Brian Michael Licht, MD - Medicare Anesthesiology in New York, NY