Dr Paul J Licata, DO | |
492 Montauk Ave, New London, CT 06320-4615 | |
(860) 443-0305 | |
(860) 443-0823 |
Full Name | Dr Paul J Licata |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 32 Years |
Location | 492 Montauk Ave, New London, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225036981 | NPI | - | NPPES |
PL52716 | Medicaid | RI | |
001004134 | Medicaid | CT | |
004242707 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 000413 (Connecticut) | Primary |
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 |
---|---|---|
Hospital Medicine Associates Llc | 9234156985 | 176 |
Hospital Medicine Associates Llc | 9234156985 | 176 |
Entity Name | Hospital Medicine Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093758781 PECOS PAC ID: 9234156985 Enrollment ID: O20170816001446 |
Entity Name | Nv Pacs 2 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20211001000134 |
Mailing Address | Practice 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 |
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 |