Dr Lauren Audrey Licata, MD - Medicare General Surgery in Columbus, OH

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Dr Lauren Audrey Licata, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Columbus, Ohio. She went to New York Medical College and graduated in 2005 and has 19 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Acute Care Surgery Medical Group Inc, Hudson Vista Medical Pc and her current practice location is 410 W 10th Ave, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 293-2101.

Dr Lauren Audrey Licata is licensed to practice in Ohio (license number 35123573) 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 1023337763.

Contact Information

Dr Lauren Audrey Licata, MD
410 W 10th Ave,
Columbus, OH 43210-1240
(614) 293-2101
(614) 293-9155

Map and Direction




Physician's Profile

Full NameDr Lauren Audrey Licata
GenderFemale
SpecialityGeneral Surgery
Experience19 Years
Location410 W 10th Ave, Columbus, Ohio
Accepts Medicare AssignmentsYes. 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 Lauren Audrey Licata attended and graduated from New York Medical College in 2005
  NPI Data:
  • NPI Number: 1023337763
  • Provider Enumeration Date: 05/20/2010
  • Last Update Date: 09/02/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8527284546
  • Enrollment ID: I20150930002364

Medical Identifiers

Medical identifiers for Dr Lauren Audrey Licata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023337763NPI-NPPES
0105408MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0102XSurgery - Surgical Critical Care 35123573 (Ohio)Primary
208600000XSurgery 255MA08698600 (New Jersey)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Cornwall HospitalNewburgh, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Acute Care Surgery Medical Group Inc7214006816138
Hudson Vista Medical Pc862824021512

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 Lauren Audrey Licata allows following entities to bill medicare on her behalf.
Entity NameHudson Vista Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659666840
PECOS PAC ID: 8628240215
Enrollment ID: O20111003000643
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Entity NameAcute Care Surgery Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700069549
PECOS PAC ID: 7214006816
Enrollment ID: O20151020000038
Entity NameNew York Surgicalist Services, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720663768
PECOS PAC ID: 7911306956
Enrollment ID: O20210525001982

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 Lauren Audrey Licata 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
Dr Lauren Audrey Licata, MD
700 Ackerman Rd, Suite 570,
Columbus, OH 43202-1559

Ph: (614) 293-2101		Dr Lauren Audrey Licata, MD
410 W 10th Ave,
Columbus, OH 43210-1240

Ph: (614) 293-2101

Reviews and Comments


Surgery Doctors in Columbus, OH

Sebastian Vincent Demyttenaere, M.D.
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Medicare: Not Enrolled in Medicare
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Phone: 614-293-3230    Fax: 614-293-4030
Dr. Robert Michael Dorman, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 700 Childrens Dr, Ccpr, Columbus, OH 43205
Phone: 614-722-0449    Fax: 614-355-6229
Priya Harakh Dedhia, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2050 Kenny Rd, Columbus, OH 43221
Phone: 614-293-7171    Fax: 614-293-3465
Dr. Lindsay Olivia-lee Stepp, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1581 Dodd Dr Fl 1, Columbus, OH 43210
Phone: 614-293-2101    Fax: 614-293-9155
Dr. Michael Ryan Douglas Farrell, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 500 E Main St Ste 220, Columbus, OH 43215
Phone: 614-544-9670    Fax: 614-544-9671
Patricia S Choban, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 750 Mount Carmel Mall, Suite 380, Columbus, OH 43222
Phone: 614-228-0768    Fax: 614-545-2997

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.