Dr Michael Licata, MD in Buffalo, NY - Medicare Diagnostic Radiology

Dr Michael Licata, MD is a medicare enrolled "Radiology - Body Imaging" physician in Buffalo, New York. He went to State University Of New York At Buffalo School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Sra Medical Imaging Llc and his current practice location is 2157 Main St, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at (716) 649-9000.

Dr Michael Licata is licensed to practice in New York (license number 184241-1) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306814579.

Contact Information

	Dr Michael Licata, MD
	2157 Main St, Buffalo, NY 14214-2648
	(716) 649-9000
	(716) 649-9005

Map and Direction

Physician's Profile

Full Name	Dr Michael Licata
Gender	Male
Speciality	Diagnostic Radiology
Experience	35 Years
Location	2157 Main St, Buffalo, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Michael Licata attended and graduated from State University Of New York At Buffalo School Of Medicine in 1989

NPI Data:

NPI Number: 1306814579
Provider Enumeration Date: 03/14/2006
Last Update Date: 09/16/2013

Medicare PECOS Information:

PECOS PAC ID: 6305824533
Enrollment ID: I20040713000587

Medical Identifiers

Medical identifiers for Dr Michael Licata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306814579	NPI	-	NPPES
00026372703	Other	NY	UNIVERA HEALTHCARE
300080525	Other	NY	RR MEDICARE
040426000284	Other	NY	FIDELIS CARE OF NEW YORK
113586FF	Other	NY	PREFERRED CARE
1609206	Other	NY	INDEPENDENT HEALTH
01528734	Medicaid	NY
000523460013	Other	NY	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	184241-1 (New York)	Primary
2085R0202X	Radiology - Diagnostic Radiology	184241 (New York)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Of Buffalo	Buffalo, NY	Hospital
Sisters Of Charity Hospital	Buffalo, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sra Medical Imaging Llc	1759369663	29

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 Michael Licata allows following entities to bill medicare on his behalf.

Entity Name	Southtowns Radiology Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295779072 PECOS PAC ID: 9830097542 Enrollment ID: O20031219000381

Entity Name	Sra Medical Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881920452 PECOS PAC ID: 1759369663 Enrollment ID: O20040708000623

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 Michael 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 Address	Practice Location Address
Dr Michael Licata, MD 3040 Amsdell Rd, Hamburg, NY 14075-5835 Ph: (716) 649-9000	Dr Michael Licata, MD 2157 Main St, Buffalo, NY 14214-2648 Ph: (716) 649-9000

Reviews and Comments

Radiology Doctors in Buffalo, NY

Dr. Gregory S Shields, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 High St, Buffalo, NY 14203 Phone: 716-859-2954 Fax: 716-859-2962
Weining Ma, MB Radiology Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-2300
Dr. Varun Kumar Chowdhry, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton Street, Buffalo, NY 14263 Phone: 716-845-2300
Drew Frederick Pierce, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 219 Bryant St, Buffalo, NY 14222 Phone: 716-878-7000
Rachel Leafe, RT(R), RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 414 Virginia St, Buffalo, NY 14201 Phone: 716-427-4541
Michael Kuettel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-2300 Fax: 716-845-8254
Robert E Lutnick, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 222 Genesee Street, Buffalo, NY 14203 Phone: 716-855-2866

Dr Michael Licata, MD - Medicare Diagnostic Radiology in Buffalo, NY