Dr Lisa A Licare, DO | |
194 Howard St, New London, CT 06320-5544 | |
(860) 444-3366 | |
Not Available |
Full Name | Dr Lisa A Licare |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 14 Years |
Location | 194 Howard St, New London, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821300807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 54140 (Connecticut) | Primary |
207V00000X | Obstetrics & Gynecology | DO00810 (Rhode Island) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Lawrence & Memorial Hospital | New london, CT | Hospital |
Westerly Hospital | Westerly, RI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Medical Group Inc | 1254233836 | 1244 |
Northeast Medical Group Inc | 1254233836 | 1244 |
Entity Name | Northeast Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa A Licare, DO 194 Howard St, New London, CT 06320-5544 Ph: (860) 444-3366 | Dr Lisa A Licare, DO 194 Howard St, New London, CT 06320-5544 Ph: (860) 444-3366 |
Francis Mayeda, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4 Shaws Cv, New London, CT 06320 Phone: 860-447-2935 Fax: 860-447-2935 | |
Dr. Jeffrey A Simpson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 345 Montauk Ave, New London, CT 06320 Phone: 860-444-6868 Fax: 860-437-0650 | |
Mrs. Patricia P Martini, APRN Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 345 Montauk Ave, New London, CT 06320 Phone: 860-444-6868 Fax: 860-437-0650 | |
Timothy M Barczak, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 345 Montauk Ave, New London, CT 06320 Phone: 860-444-6711 Fax: 860-437-0650 | |
Jonathan L Levine, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4 Shaws Cv, New London, CT 06320 Phone: 860-447-2935 Fax: 860-447-2935 | |
Dr. Edward J Watson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 471 Montauk Ave, New London, CT 06320 Phone: 860-443-4148 Fax: 860-442-3805 | |
Dr. Henry Steven Amdur, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 425 Montauk Ave, New London, CT 06320 Phone: 860-442-0383 Fax: 860-442-7266 |