Mr Jonathan M Licht, MD in San Diego, CA - Medicare Psychiatry & Neurology

Mr Jonathan M Licht, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in San Diego, California. His current practice location is 4033 3rd Ave, Suite 206, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 294-9292.

Mr Jonathan M Licht is licensed to practice in California (license number G43892) 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 1356321988.

Contact Information

	Mr Jonathan M Licht, MD
	4033 3rd Ave, Suite 206, San Diego, CA 92103-2117
	(619) 294-9292
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Jonathan M Licht
Gender	Male
Speciality	Psychiatry & Neurology - Neurology
Location	4033 3rd Ave, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356321988
Provider Enumeration Date: 01/19/2006
Last Update Date: 01/11/2010

Medicare PECOS Information:

PECOS PAC ID: 1456337336
Enrollment ID: I20040629001728

Medical Identifiers

Medical identifiers for Mr Jonathan M Licht such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356321988	NPI	-	NPPES
00G438921	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	G43892 (California)	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. Mr Jonathan M Licht allows following entities to bill medicare on his behalf.

Entity Name	Scripps Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822

Entity Name	Family Health Centers Of San Diego, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923

Entity Name	Emergency And Acute Care Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734

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 Jonathan M Licht 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 Jonathan M Licht, MD 4033 3rd Ave, Suite 206, San Diego, CA 92103-2117 Ph: (619) 294-9292	Mr Jonathan M Licht, MD 4033 3rd Ave, Suite 206, San Diego, CA 92103-2117 Ph: (619) 294-9292

Reviews and Comments

Psychiatry & Neurology Doctors in San Diego, CA

Sahana Malik, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 4033 3rd Ave Ste 420, San Diego, CA 92103 Phone: 619-294-9292
Kelsey Curd Ladt, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3020 Childrens Way # Mc5009, San Diego, CA 92123 Phone: 858-966-6764
Dr. Jonathan M Meyer, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3350 La Jolla Village Dr, 116-a, San Diego, CA 92161 Phone: 858-642-3570
Dr. Nihal De Silva, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3525 Del Mar Heights Road, Suite 947, San Diego, CA 92130 Phone: 973-563-6220
Dr. Shannon V Chavez, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-497-6665
Dr. Gregory F Bishop, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 760-724-8411
Dr. Shashita Inamdar, M.D., PH.D, DABPN Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5060 Shoreham Pl Ste 100, San Diego, CA 92122 Phone: 858-221-0344 Fax: 858-248-4262

Mr Jonathan M Licht, MD - Medicare Psychiatry & Neurology in San Diego, CA