Dr Paul J Licata, DO - Medicare Internal Medicine in New London, CT

Dr Paul J Licata, DO is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in New London, Connecticut. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1992 and has 32 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Hospital Medicine Associates Llc, Hospital Medicine Associates Llc and his current practice location is 492 Montauk Ave, New London, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 443-0305.

Dr Paul J Licata is licensed to practice in Connecticut (license number 000413) 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 1225036981.

Contact Information

Dr Paul J Licata, DO
492 Montauk Ave,
New London, CT 06320-4615
(860) 443-0305
(860) 443-0823

Map and Direction




Physician's Profile

Full NameDr Paul J Licata
GenderMale
SpecialityInternal Medicine
Experience32 Years
Location492 Montauk Ave, New London, Connecticut
Accepts Medicare AssignmentsYes. 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 Paul J Licata attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1992
  NPI Data:
  • NPI Number: 1225036981
  • Provider Enumeration Date: 07/07/2005
  • Last Update Date: 10/18/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7810890886
  • Enrollment ID: I20040414000721

Medical Identifiers

Medical identifiers for Dr Paul J Licata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225036981NPI-NPPES
PL52716MedicaidRI
001004134MedicaidCT
004242707MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 000413 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lawrence & Memorial HospitalNew london, CTHospital
Westerly HospitalWesterly, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospital Medicine Associates Llc9234156985176
Hospital Medicine Associates Llc9234156985176

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 Paul J Licata allows following entities to bill medicare on his behalf.
Entity NameHospital Medicine Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093758781
PECOS PAC ID: 9234156985
Enrollment ID: O20170816001446
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20211001000134

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 Paul J 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 Paul J Licata, DO
492 Montauk Ave,
New London, CT 06320-4615

Ph: (860) 443-0305
Dr Paul J Licata, DO
492 Montauk Ave,
New London, CT 06320-4615

Ph: (860) 443-0305

Reviews and Comments


Internal Medicine Doctors in New London, CT

Yardley Brice, DO
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 860-442-0711    
Dr. Pradnya Velankar, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 860-442-0711    
Mical S Campbell, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: Coastal Digestive Diseases, 234a Bank St, New London, CT 06320
Phone: 860-442-0290    Fax: 860-442-2136
Suzanne J Klekotka, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 155 Montauk Ave, New London, CT 06320
Phone: 860-444-2223    Fax: 860-440-3153
Dr. John Edward Madsen, M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 234a Bank St, New London, CT 06320
Phone: 860-442-0290    Fax: 860-442-2136
Robert J Keltner, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 155 Montauk Avenue, New London, CT 06320
Phone: 860-444-2223    Fax: 860-440-3153
Dr. Nicolas J Astras, DO
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 860-442-0711    

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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.

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