Dr Robert M Licata, MD in Shallotte, NC

Dr Robert M Licata, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Shallotte, North Carolina. He went to Georgetown University School Of Medicine and graduated in 1971 and has 53 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Coastal Horizons Center, Inc. and his current practice location is 120 Coastal Horizons Dr, Shallotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 754-4515.

Dr Robert M Licata is licensed to practice in North Carolina (license number 2014-01510) 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 1669522769.

Contact Information

	Dr Robert M Licata, MD
	120 Coastal Horizons Dr, Shallotte, NC 28470-6094
	(910) 754-4515
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Robert M Licata
Gender	Male
Speciality	Psychiatry
Experience	53 Years
Location	120 Coastal Horizons Dr, Shallotte, North Carolina
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 Robert M Licata attended and graduated from Georgetown University School Of Medicine in 1971

NPI Data:

NPI Number: 1669522769
Provider Enumeration Date: 01/11/2007
Last Update Date: 08/12/2015

Medicare PECOS Information:

PECOS PAC ID: 2567611494
Enrollment ID: I20151110000931

Medical Identifiers

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

Identifier	Type	State	Issuer
1669522769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	0101027066 (Virginia)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	2014-01510 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Coastal Horizons Center, Inc.	9739267964	41

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 Robert M Licata allows following entities to bill medicare on his behalf.

Entity Name	Coastal Horizons Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922022607 PECOS PAC ID: 9739267964 Enrollment ID: O20080429000046

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 Robert M 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 Robert M Licata, MD 6200 Cottage Creek Rd, Southport, NC 28461-2983 Ph: (571) 216-1272	Dr Robert M Licata, MD 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 Ph: (910) 754-4515

Reviews and Comments

Psychiatry & Neurology Doctors in Shallotte, NC

Borislav Margaritov Mravkov, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 204 Smith Ave, Shallotte, NC 28470 Phone: 910-721-4220 Fax: 910-721-4229
Marlon Anthony Graham, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 512 Village Rd Ste 104, Shallotte, NC 28470 Phone: 910-721-4200 Fax: 910-754-3811
Dr. David A. Joseph, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4647 Main St, Ste. 5, Shallotte, NC 28470 Phone: 910-755-6606 Fax: 910-755-6608

Dr Robert M Licata, MD - Medicare Psychiatry in Shallotte, NC