Mr Samuel David Licata, MD in Steubenville, OH

Mr Samuel David Licata, MD is a medicare enrolled "Surgery" physician in Steubenville, Ohio. He went to West Virginia University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Trinity West, Rehab-bray Llc and his current practice location is 4000 Johnson Rd, 2nd Floor, Steubenville, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 266-5959.

Mr Samuel David Licata is licensed to practice in Ohio (license number 35064482) 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 1710973870.

Contact Information

	Mr Samuel David Licata, MD
	4000 Johnson Rd, 2nd Floor, Steubenville, OH 43952-2364
	(740) 266-5959
	(740) 266-5957

Map and Direction

Physician's Profile

Full Name	Mr Samuel David Licata
Gender	Male
Speciality	General Surgery
Experience	34 Years
Location	4000 Johnson Rd, Steubenville, 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 Samuel David Licata attended and graduated from West Virginia University School Of Medicine in 1990

NPI Data:

NPI Number: 1710973870
Provider Enumeration Date: 09/23/2005
Last Update Date: 04/27/2016

Medicare PECOS Information:

PECOS PAC ID: 7719984350
Enrollment ID: I20130628000497

Medical Identifiers

Medical identifiers for Mr Samuel David Licata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710973870	NPI	-	NPPES
0126291000	Medicaid	WV
0188381	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	18107 (West Virginia)	Secondary
208600000X	Surgery	35064482 (Ohio)	Primary
208600000X	Surgery	MD048163L (Pennsylvania)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Trinity Medical Ctr East &trinity Medical Ctr West	Steubenville, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trinity West	5496648875	140
Rehab-bray Llc	8527256460	54

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 Samuel David Licata allows following entities to bill medicare on his behalf.

Entity Name	Trinity West
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043234677 PECOS PAC ID: 5496648875 Enrollment ID: O20040209000132

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 Samuel David 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 Samuel David Licata, MD 380 Summit Ave, Mso Physician Billing, Steubenville, OH 43952-2667 Ph: (740) 266-5959	Mr Samuel David Licata, MD 4000 Johnson Rd, 2nd Floor, Steubenville, OH 43952-2364 Ph: (740) 266-5959

Reviews and Comments

Surgery Doctors in Steubenville, OH

Mr. Dominic Anthony Macedonia, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 523 North Fourth St, Steubenville, OH 43952 Phone: 740-282-1144 Fax: 740-282-2374
Jayapal G Reddy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4100 Johnson Rd Ste 202, Steubenville, OH 43952 Phone: 740-282-8746 Fax: 740-282-2800
Edward J. Picardi, M.D., F.A.C.S. Surgery Medicare: Medicare Enrolled Practice Location: 4000 Johnson Rd Fl 2, Steubenville, OH 43952 Phone: 740-266-5956 Fax: 740-266-5957

Mr Samuel David Licata, MD - Medicare General Surgery in Steubenville, OH