Douglas J Lichti, MD is a medicare enrolled "Surgery" physician in Heber City, Utah. His current practice location is
380 E 1500 S, Suite 202, Heber City, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 657-2711.
Douglas J Lichti is licensed to practice in Utah (license number 1835651205) 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 1417995325.
Physician's Profile
| Full Name | Douglas J Lichti |
|---|
| Gender | Male |
|---|
| Speciality | Surgery |
|---|
| Location | 380 E 1500 S, Heber City, Utah |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1417995325
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 09/16/2013
Medicare PECOS Information:
- PECOS PAC ID: 8325174311
- Enrollment ID: I20170920003896
Medical Identifiers
Medical identifiers for Douglas J Lichti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417995325 | NPI | - | NPPES |
| 870516264009 | Medicaid | UT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 1835651205 (Utah) | 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. Douglas J Lichti allows following entities to bill medicare on his behalf.
| Entity Name | Acute Care Surgery Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1700069549
PECOS PAC ID: 7214006816
Enrollment ID: O20151020000038 |
|---|
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. Douglas J Lichti 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 |
|---|
Douglas J Lichti, MD
380 E 1500 S, Suite 202,
Heber City, UT 84032-3940
Ph: (435) 657-2711 | Douglas J Lichti, MD
380 E 1500 S, Suite 202,
Heber City, UT 84032-3940
Ph: (435) 657-2711 |
Reviews and Comments