Dr Ernesto Licon, MD in Orange, CA - Medicare Obstetrics & Gynecology

Dr Ernesto Licon, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Orange, California. His current practice location is 101 The City Dr S, Orange, California. You can reach out to his office (for appointments etc.) via phone at (714) 880-2911.

Dr Ernesto Licon is licensed to practice in California (license number A160205) 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 1194254896.

Contact Information

	Dr Ernesto Licon, MD
	101 The City Dr S, Orange, CA 92868-3201
	(714) 880-2911
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ernesto Licon
Gender	Male
Speciality	Obstetrics & Gynecology
Location	101 The City Dr S, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194254896
Provider Enumeration Date: 06/06/2017
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1557770294
Enrollment ID: I20210510000188

Medical Identifiers

Medical identifiers for Dr Ernesto Licon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194254896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	A160205 (California)	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. Dr Ernesto Licon allows following entities to bill medicare on his behalf.

Entity Name	University Of California Irvine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598790529 PECOS PAC ID: 5395658181 Enrollment ID: O20031107000431

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356304034 PECOS PAC ID: 0143128009 Enrollment ID: O20031230000251

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 Ernesto Licon 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 Ernesto Licon, MD 200 S Manchester Ave Ste 300, Orange, CA 92868-3219 Ph: (714) 456-2986	Dr Ernesto Licon, MD 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 880-2911

Reviews and Comments

Obstetrics & Gynecology Doctors in Orange, CA

Dr. Laura Catherine Skoczylas, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Building 56, Department Of Ob/gyn, Orange, CA 92868 Phone: 714-456-8224 Fax: 714-456-8360
Gelareh Renee Nikpour-heravi, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2501 E Chapman Ave Ste 201-202, Orange, CA 92869 Phone: 714-282-1892 Fax: 714-289-3906
Jennefer Allyn Russo, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 700 S. Tustin Street, Orange, CA 92866 Phone: 714-633-6373 Fax: 714-532-2522
Dr. Madushka Yohan De Zoysa, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812
Dr. Tamera Hatfield, MD, PHD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 200 S. Manchester Ave, Suite 600, Orange, CA 92868 Phone: 714-456-2911 Fax: 714-456-8383
Dr. Stephanie J. Warsheski, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3800 W Chapman Ave Ste 3400, Orange, CA 92868 Phone: 714-456-7733
Martin Jerry Feldman, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1310 W Stewart Dr, Suite 606, Orange, CA 92868 Phone: 714-997-9494 Fax: 714-997-9674

Dr Ernesto Licon, MD - Medicare Obstetrics & Gynecology in Orange, CA