Dr Paul John Licata, MD in Anaheim, CA - Medicare Family Medicine

Dr Paul John Licata, MD is a medicare enrolled "Family Medicine" physician in Anaheim, California. His current practice location is 1717 E Lincoln Ave, Anaheim, California. You can reach out to his office (for appointments etc.) via phone at (714) 635-2642.

Dr Paul John Licata is licensed to practice in California (license number A25662) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740361518.

Contact Information

	Dr Paul John Licata, MD
	1717 E Lincoln Ave, Anaheim, CA 92805-4345
	(714) 635-2642
	(714) 635-8547

Map and Direction

Physician's Profile

Full Name	Dr Paul John Licata
Gender	Male
Speciality	Family Medicine
Location	1717 E Lincoln Ave, Anaheim, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740361518
Provider Enumeration Date: 10/18/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2062572159
Enrollment ID: I20081119000439

Medical Identifiers

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

Identifier	Type	State	Issuer
1740361518	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A25662 (California)	Primary

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

Entity Name	Healthpointe Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548201304 PECOS PAC ID: 0941299135 Enrollment ID: O20040511001815

Entity Name	Healthpointe Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740221472 PECOS PAC ID: 0941299135 Enrollment ID: O20040707001463

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 John 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 Paul John Licata, MD 16702 Valley View Ave, La Mirada, CA 90638-5824 Ph: (714) 367-5360	Dr Paul John Licata, MD 1717 E Lincoln Ave, Anaheim, CA 92805-4345 Ph: (714) 635-2642

Reviews and Comments

Family Medicine Doctors in Anaheim, CA

Dino A. Imperial, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800
Lance C. Brunner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800
Marites Mcmurtrey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800
Steven Chao, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 408 S Beach Blvd, Suite 106, Anaheim, CA 92804 Phone: 714-995-5471 Fax: 714-995-5815
Edmond K Chu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3055 W Orange Ave Ste 202, Anaheim, CA 92804 Phone: 714-952-0203 Fax: 714-952-1387
Warren U. Wong, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800
Jeff D. Tracy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800

Dr Paul John Licata, MD - Medicare Family Medicine in Anaheim, CA