David J Licini, MD - Medicare Orthopedic Surgery in Bloomington, IN

David J Licini, MD is a medicare enrolled "Orthopaedic Surgery" physician in Bloomington, Indiana. He went to Indiana University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Indiana University Health Southern Indiana Physicians Llc and his current practice location is 1302 S Rogers St, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 333-2663.

David J Licini is licensed to practice in Indiana (license number 01071339A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801086343.

Contact Information

David J Licini, MD
1302 S Rogers St,
Bloomington, IN 47403-4752
(812) 333-2663
(812) 676-4131

Map and Direction




Physician's Profile

Full NameDavid J Licini
GenderMale
SpecialityOrthopedic Surgery
Experience17 Years
Location1302 S Rogers St, Bloomington, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David J Licini attended and graduated from Indiana University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1801086343
  • Provider Enumeration Date: 07/31/2007
  • Last Update Date: 10/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2668607623
  • Enrollment ID: I20131028001920

Medical Identifiers

Medical identifiers for David J Licini such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801086343NPI-NPPES
201119230MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XS0114XOrthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery 01071339A (Indiana)Secondary
207X00000XOrthopaedic Surgery 01071339A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University Health Home CareIndianapolis, INHome health agency
Indiana University Health Bloomington HospitalBloomington, INHospital
Indiana University HealthIndianapolis, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Indiana University Health Southern Indiana Physicians Llc6204748197449

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. David J Licini allows following entities to bill medicare on his behalf.
Entity NameIndiana University Health Southern Indiana Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013953983
PECOS PAC ID: 6204748197
Enrollment ID: O20040423000556

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. David J Licini 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
David J Licini, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -
David J Licini, MD
1302 S Rogers St,
Bloomington, IN 47403-4752

Ph: (812) 333-2663

Reviews and Comments


Orthopaedic Surgery Doctors in Bloomington, IN

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Dr. Gregory M Fox, M.D.
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James Robert Lindner, MD
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Phone: 812-333-1933    Fax: 812-333-3991

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.