Serrie C Lico, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Canton, Ohio. He went to Hahneman Medical College Of The Pacific and graduated in 1989 and has 35 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Mercy Health Physicians Lima Specialty Care Llc and 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 | Thoracic Surgery |
|---|
| Experience | 35 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 Hahneman Medical College Of The Pacific in 1989
NPI Data:
- NPI Number: 1790746790
- Provider Enumeration Date: 03/29/2006
- Last Update Date: 06/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 4587741483
- Enrollment ID: I20181015001198
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mercy Health Physicians Lima Specialty Care Llc | 7012332364 | 200 |
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. Serrie C Lico allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Health Physicians Lima Specialty Care Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1518589803
PECOS PAC ID: 7012332364
Enrollment ID: O20200803002433 |
|---|
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