Dr Amy Kathleen Licis, MD in Saint Louis, MO

Dr Amy Kathleen Licis, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Saint Louis, Missouri. She went to Washington University School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Sleep Medicine. She is a member of the group practice Washington University and her current practice location is 1600 S Brentwood Blvd, Div Neurology Sleep Med, Ste 600, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 362-1408.

Dr Amy Kathleen Licis is licensed to practice in Missouri (license number 2009014878) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992914352.

Contact Information

	Dr Amy Kathleen Licis, MD
	1600 S Brentwood Blvd, Div Neurology Sleep Med, Ste 600, Saint Louis, MO 63144-1320
	(314) 362-1408
	(314) 747-4342

Map and Direction

Physician's Profile

Full Name	Dr Amy Kathleen Licis
Gender	Female
Speciality	Sleep Medicine
Experience	20 Years
Location	1600 S Brentwood Blvd, Saint Louis, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Amy Kathleen Licis attended and graduated from Washington University School Of Medicine in 2004

NPI Data:

NPI Number: 1992914352
Provider Enumeration Date: 05/22/2007
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 4284812132
Enrollment ID: I20110624000393

Medical Identifiers

Medical identifiers for Dr Amy Kathleen Licis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992914352	NPI	-	NPPES
204515803	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080S0012X	Pediatrics - Sleep Medicine	2009014878 (Missouri)	Secondary
2084N0402X	Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology	2009014878 (Missouri)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	2009014878 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Washington University	9830008770	2516

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. Dr Amy Kathleen Licis allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356382527 PECOS PAC ID: 9830008770 Enrollment ID: O20031106000605

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. Dr Amy Kathleen Licis 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
Dr Amy Kathleen Licis, MD Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 362-1408	Dr Amy Kathleen Licis, MD 1600 S Brentwood Blvd, Div Neurology Sleep Med, Ste 600, Saint Louis, MO 63144-1320 Ph: (314) 362-1408

Reviews and Comments

Psychiatry & Neurology Doctors in Saint Louis, MO

Dr. Lauren Flynn, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 231 W Lockwood Ave, Suite 202, Saint Louis, MO 63119 Phone: 314-737-4070
Dr. Antonina S Gesmundo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Jefferson Barracks Dr, Saint Louis, MO 63125 Phone: 314-894-6636
Mr. Robert Harry Brady, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1430 Olive St, Suite 500, Saint Louis, MO 63103 Phone: 314-206-3724 Fax: 314-206-3708
Dr. Marcus E Raichle, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 517 S Euclid Ave, Ground Floor, Saint Louis, MO 63110 Phone: 314-362-6907 Fax: 314-747-3258
Rohit Pawar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10018 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-7275 Fax: 314-525-7260
Dr. Rushaniya Albeptovna Khairova, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 24 S Kingshighway Blvd, Saint Louis, MO 63108 Phone: 314-286-1700 Fax: 314-286-1730
Dr. Alyssa E Smith, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl, Div Neurology Pediatrics, Saint Louis, MO 63110 Phone: 314-362-1408 Fax: 314-454-2523

Dr Amy Kathleen Licis, MD - Medicare Sleep Medicine in Saint Louis, MO