Lisa Liceaga, DO in Cleveland, OH - Medicare Physical Medicine & Rehabilitation

Lisa Liceaga, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Cleveland, Ohio. Her current practice location is 11100 Euclid Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 844-8447.

Lisa Liceaga is licensed to practice in Ohio (license number 34.015963) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215421979.

Contact Information

	Lisa Liceaga, DO
	11100 Euclid Ave, Cleveland, OH 44106-1716
	(216) 844-8447
	Not Available

Map and Direction

Physician's Profile

Full Name	Lisa Liceaga
Gender	Female
Speciality	Physical Medicine & Rehabilitation
Location	11100 Euclid Ave, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215421979
Provider Enumeration Date: 06/17/2018
Last Update Date: 09/10/2022

Medicare PECOS Information:

PECOS PAC ID: 6406236348
Enrollment ID: I20220708002354

Medical Identifiers

Medical identifiers for Lisa Liceaga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215421979	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	34.015963 (Ohio)	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. Lisa Liceaga allows following entities to bill medicare on her behalf.

Entity Name	University Hospitals Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301

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. Lisa Liceaga 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
Lisa Liceaga, DO 3007 Clinton Ave Unit 109, Cleveland, OH 44113-3144 Ph: () -	Lisa Liceaga, DO 11100 Euclid Ave, Cleveland, OH 44106-1716 Ph: (216) 844-8447

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Cleveland, OH

Dr. Sultan Zaidan, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 18780 Bagley Rd # 100, Cleveland, OH 44130 Phone: 440-816-2850 Fax: 440-816-2855
Dr. Robert Edwin Moore, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-3207
Michael P Schaefer, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: Cleveland Clinic Foundation Orthopedics A40, 9500 Euclid Avenue, Cleveland, OH 44195 Phone: 216-444-0851
Dr. Renae R Fisher, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 10701 East Blvd, Cleveland, OH 44106 Phone: 216-791-3800
Devon Brooke Mclennan, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800
Marzena M Buzanowska, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Desk S40, Cleveland, OH 44195 Phone: 216-444-6077
Dr. Jack E Kelly, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10701 East Blvd, Cleveland, OH 44106 Phone: 216-791-3800

Lisa Liceaga, DO - Medicare Physical Medicine & Rehabilitation in Cleveland, OH