Mr Antonio M Licata, DO in Dayton, OH - Medicare Anesthesiology

Mr Antonio M Licata, DO is a medicare enrolled "Anesthesiology" physician in Dayton, Ohio. He went to West Virginia School Of Osteopathic Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Anesthesiology Services Network Ltd and his current practice location is 1 Wyoming St, 3 Fl / Anes. Dept, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 208-4380.

Mr Antonio M Licata is licensed to practice in Ohio (license number 34.00512) 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 1033197694.

Contact Information

	Mr Antonio M Licata, DO
	1 Wyoming St, 3 Fl / Anes. Dept, Dayton, OH 45409
	(937) 208-4380
	(937) 208-3843

Map and Direction

Physician's Profile

Full Name	Mr Antonio M Licata
Gender	Male
Speciality	Anesthesiology
Experience	35 Years
Location	1 Wyoming St, Dayton, 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:

Mr Antonio M Licata attended and graduated from West Virginia School Of Osteopathic Medicine in 1989

NPI Data:

NPI Number: 1033197694
Provider Enumeration Date: 01/04/2006
Last Update Date: 12/02/2010

Medicare PECOS Information:

PECOS PAC ID: 5193761880
Enrollment ID: I20050705000206

Medical Identifiers

Medical identifiers for Mr Antonio M Licata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033197694	NPI	-	NPPES
0932138	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	34005132 (Ohio)	Secondary
207L00000X	Anesthesiology	34.00512 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Miami Valley Hospital	Dayton, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesiology Services Network Ltd	8820902794	168

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. Mr Antonio M Licata allows following entities to bill medicare on his behalf.

Entity Name	Anesthesiology Services Network Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821076779 PECOS PAC ID: 8820902794 Enrollment ID: O20031114000467

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. Mr Antonio M 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
Mr Antonio M Licata, DO P.o. Box 632317, Cincinnati, OH 45263-2317 Ph: (937) 208-4380	Mr Antonio M Licata, DO 1 Wyoming St, 3 Fl / Anes. Dept, Dayton, OH 45409 Ph: (937) 208-4380

Reviews and Comments

Anesthesiology Doctors in Dayton, OH

Sumiko S Sarle, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-2612
Joseph Mulcare, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-6173 Fax: 937-208-3843
Dr. Roberta Elizabeth Galford, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1997 Miamisburg Centerville Rd, Dayton, OH 45459 Phone: 937-401-6220
Dr. Thomas James Fritz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-2612
Mark Chambers, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, 3rd Floor, Anesthesia Dept, Dayton, OH 45409 Phone: 937-208-2627
Nancy Kwon, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, 3rd Fl, Anes. Dept., Attn: Barb, Dayton, OH 45409 Phone: 937-208-4380

Mr Antonio M Licata, DO - Medicare Anesthesiology in Dayton, OH