John Paschal Licata, MD in Charlotte, NC

John Paschal Licata, MD is a medicare enrolled "Pediatrics" physician in Charlotte, North Carolina. His current practice location is 13640 Steelecroft Pkwy, Ste 210, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 512-6100.

John Paschal Licata is licensed to practice in North Carolina (license number 2020-00623) 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 1740711076.

Contact Information

	John Paschal Licata, MD
	13640 Steelecroft Pkwy, Ste 210, Charlotte, NC 28278-7565
	(704) 512-6100
	Not Available

Map and Direction

Physician's Profile

Full Name	John Paschal Licata
Gender	Male
Speciality	Pediatrics
Location	13640 Steelecroft Pkwy, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740711076
Provider Enumeration Date: 03/27/2017
Last Update Date: 05/04/2023

Medicare PECOS Information:

PECOS PAC ID: 8325324411
Enrollment ID: I20200812002375

Medical Identifiers

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

Identifier	Type	State	Issuer
1740711076	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2020-00623 (North Carolina)	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. John Paschal Licata allows following entities to bill medicare on his behalf.

Entity Name	Carolinas Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819

Entity Name	Charlotte Pediatric Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710914171 PECOS PAC ID: 1658263298 Enrollment ID: O20040327000227

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. John Paschal 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
John Paschal Licata, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	John Paschal Licata, MD 13640 Steelecroft Pkwy, Ste 210, Charlotte, NC 28278-7565 Ph: (704) 512-6100

Reviews and Comments

Pediatrics Doctors in Charlotte, NC

Kristina Jasmin Harrell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1422
Amanda Marie Sebring, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840
Fnu Pardeep, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277 Phone: 704-667-2600
Nicole Ludmil Ivanov, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9908 Couloak Dr, Ste 103, Charlotte, NC 28216 Phone: 704-801-2025
Dr. Kathy Garland Mohanty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 350, Charlotte, NC 28210 Phone: 704-384-8600 Fax: 704-384-8610
Dr. Meredith Givens Pochick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3129 Springbank Ln Ste 100, Charlotte, NC 28226 Phone: 704-384-5151 Fax: 704-316-2905
Donald Shelton Chapman Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 231 S Sharon Amity Rd, Charlotte, NC 28211 Phone: 704-304-6400

John Paschal Licata, MD - Medicare Pediatrics in Charlotte, NC