Dr Lauren Kemp Licina, MD is a medicare enrolled "Anesthesiology - Pediatric Anesthesiology" physician in Shaker Heights, Ohio. Her current practice location is
3256 Ardmore Rd, Shaker Heights, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 798-5974.
Dr Lauren Kemp Licina is licensed to practice in Ohio (license number 35.131366) 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 1235495680.
Physician's Profile
| Full Name | Dr Lauren Kemp Licina |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 3256 Ardmore Rd, Shaker Heights, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Lauren Kemp Licina attended and graduated from in
NPI Data:
- NPI Number: 1235495680
- Provider Enumeration Date: 04/10/2012
- Last Update Date: 09/02/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Lauren Kemp Licina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235495680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | 35.131366 (Ohio) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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 Kemp Licina 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 |
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Dr Lauren Kemp Licina, MD
525 E 68th St,
New York, NY 10065-4870
Ph: (212) 746-2959 | Dr Lauren Kemp Licina, MD
3256 Ardmore Rd,
Shaker Heights, OH 44120-3402
Ph: (216) 798-5974 |
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