Caleb Lichtenberger, PMHNP-BC in Glendale, AZ

Caleb Lichtenberger, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Glendale, Arizona. His current practice location is 18555 N 79th Ave Ste D107, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 777-3477.

Caleb Lichtenberger is licensed to practice in Arizona (license number 290462) 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 1194415695.

Contact Information

	Caleb Lichtenberger, PMHNP-BC
	18555 N 79th Ave Ste D107, Glendale, AZ 85308-6040
	(623) 777-3477
	Not Available

Map and Direction

Provider's Profile

Full Name	Caleb Lichtenberger
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	18555 N 79th Ave Ste D107, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194415695
Provider Enumeration Date: 05/09/2023
Last Update Date: 05/22/2023

Medicare PECOS Information:

PECOS PAC ID: 4981061454
Enrollment ID: I20230530000939

Medical Identifiers

Medical identifiers for Caleb Lichtenberger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194415695	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	290462 (Arizona)	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. Caleb Lichtenberger allows following entities to bill medicare on his behalf.

Entity Name	2nd Chance Treatment Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780098228 PECOS PAC ID: 6406178243 Enrollment ID: O20141204001738

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. Caleb Lichtenberger 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
Caleb Lichtenberger, PMHNP-BC 16430 N Scottsdale Rd, Scottsdale, AZ 85254-1518 Ph: (480) 428-0229	Caleb Lichtenberger, PMHNP-BC 18555 N 79th Ave Ste D107, Glendale, AZ 85308-6040 Ph: (623) 777-3477

Reviews and Comments

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Caleb Lichtenberger, PMHNP-BC - Medicare Nurse Practitioner in Glendale, AZ