Serrie C Lico, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Canton, Ohio. His current practice location is
1330 Mercy Dr Nw Ste 101, Canton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 588-4676.
Serrie C Lico is licensed to practice in Ohio (license number 35.122143) 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 1790746790.
Physician's Profile
| Full Name | Serrie C Lico |
|---|
| Gender | Male |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 1330 Mercy Dr Nw Ste 101, Canton, Ohio |
|---|
| 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:
- Serrie C Lico attended and graduated from in
NPI Data:
- NPI Number: 1790746790
- Provider Enumeration Date: 03/29/2006
- Last Update Date: 06/17/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Serrie C Lico such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790746790 | NPI | - | NPPES |
| 03112934 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 25MA10202300 (New Jersey) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD068831L (Pennsylvania) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 35.122143 (Ohio) | Primary |
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. Serrie C Lico 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 |
|---|
Serrie C Lico, MD
1320 Mercy Dr Nw,
Canton, OH 44708-2614
Ph: (330) 489-1000 | Serrie C Lico, MD
1330 Mercy Dr Nw Ste 101,
Canton, OH 44708-2624
Ph: (330) 588-4676 |
Reviews and Comments