Chaveli Ezpeleta Licata, AA in Houston, TX - Medicare Anesthesiology Assistant

Chaveli Ezpeleta Licata, AA is a medicare enrolled "Anesthesiologist Assistant" in Houston, Texas. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Ut Physicians and her current practice location is 6411 Fannin St, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (713) 500-6200.

Chaveli Ezpeleta Licata is licensed to practice in Texas (license number 1529) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114365509.

Contact Information

	Chaveli Ezpeleta Licata, AA
	6411 Fannin St, Houston, TX 77030-1501
	(713) 500-6200
	Not Available

Map and Direction

Provider's Profile

Full Name	Chaveli Ezpeleta Licata
Gender	Female
Speciality	Anesthesiology Assistant
Experience	11 Years
Location	6411 Fannin St, Houston, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Chaveli Ezpeleta Licata graduated from nursing school in 2013

NPI Data:

NPI Number: 1114365509
Provider Enumeration Date: 06/07/2013
Last Update Date: 05/25/2017

Medicare PECOS Information:

PECOS PAC ID: 0648409425
Enrollment ID: I20140128001374

Medical Identifiers

Medical identifiers for Chaveli Ezpeleta Licata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114365509	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	1529 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hermann - Texas Medical Center	Houston, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ut Physicians	8426960360	1400

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. Chaveli Ezpeleta Licata allows following entities to bill medicare on her behalf.

Entity Name	Ut Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268

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. Chaveli Ezpeleta 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
Chaveli Ezpeleta Licata, AA Po Box 301173, Dallas, TX 75303-1173 Ph: (713) 500-3500	Chaveli Ezpeleta Licata, AA 6411 Fannin St, Houston, TX 77030-1501 Ph: (713) 500-6200

Reviews and Comments

Anesthesiologist Assistant Nurses in Houston, TX

James Nast Trahan, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1500 Citywest Blvd Ste 300, Houston, TX 77042 Phone: 713-620-4000
Caitlyn Marie Kohake, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6720 Bertner Ave, Houston, TX 77030 Phone: 823-355-2666
Robert Sean Mcneill, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 Phone: 713-620-4000 Fax: 713-458-4229
Aleena A Gillani, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd Ste 300, Houston, TX 77042 Phone: 972-233-1999 Fax: 972-233-3666
Logan Patrick Fettig, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 6720 Bertner Ave, Houston, TX 77030 Phone: 832-355-2666
Joseph Grant Shafer, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161
Sarah P Her, AA-S Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 Phone: 713-620-4000 Fax: 713-458-4229

Chaveli Ezpeleta Licata, AA - Medicare Anesthesiology Assistant in Houston, TX