Dr Thomas Anthony Licata, DO - Medicare Family Medicine in Wausau, WI

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Dr Thomas Anthony Licata, DO is a medicare enrolled "Family Medicine" physician in Wausau, Wisconsin. His current practice location is 333 Pine Ridge Blvd, Wausau, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 675-3391.

Dr Thomas Anthony Licata is licensed to practice in Wisconsin (license number 81059-21) 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 1427638659.

Contact Information

Dr Thomas Anthony Licata, DO
333 Pine Ridge Blvd,
Wausau, WI 54401-4102
(715) 675-3391
Not Available

Map and Direction




Physician's Profile

Full NameDr Thomas Anthony Licata
GenderMale
SpecialityFamily Medicine
Location333 Pine Ridge Blvd, Wausau, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427638659
  • Provider Enumeration Date: 04/12/2021
  • Last Update Date: 06/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8123475258
  • Enrollment ID: I20231113000321

Medical Identifiers

Medical identifiers for Dr Thomas Anthony Licata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427638659NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 81059-21 (Wisconsin)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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 Thomas Anthony Licata allows following entities to bill medicare on his behalf.
Entity NameAspirus Wausau Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922321140
PECOS PAC ID: 6406757442
Enrollment ID: O20040114000297
Entity NameAspirus Medford Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285703173
PECOS PAC ID: 5799688602
Enrollment ID: O20040129000007
Entity NameAspirus Merrill Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124084678
PECOS PAC ID: 0143117556
Enrollment ID: O20040301001179

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 Thomas Anthony 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 AddressPractice Location Address
Dr Thomas Anthony Licata, DO
333 Pine Ridge Blvd,
Wausau, WI 54401-4102

Ph: () -		Dr Thomas Anthony Licata, DO
333 Pine Ridge Blvd,
Wausau, WI 54401-4102

Ph: (715) 675-3391

Reviews and Comments


Family Medicine Doctors in Wausau, WI

Melanie A Hellrood, MD
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Practice Location: 2720 Plaza Dr Ste 1300, Wausau, WI 54401
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Dr. Jonathan Joseph Cotter, M.D.
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Phone: 715-845-8891    Fax: 715-845-8891
Natalie Weeks,
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Lindsey Sippl, AGPCNP-BC
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Adam G Clements, DO
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Phone: 715-675-3391    Fax: 715-675-4253
Lisa Grill Dodson, MD
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Practice Location: 2720 Plaza Dr, Suite 1100, Wausau, WI 54401
Phone: 715-847-2472    
John F Webb, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 2727 Plaza Dr, Wausau, WI 54401
Phone: 715-847-3434    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.