Kelsey Licato, APN in Berkeley Heights, NJ - Medicare Nurse Practitioner

Kelsey Licato, APN is a medicare enrolled "Nurse Practitioner" in Berkeley Heights, New Jersey. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summit Medical Group Pa and her current practice location is 1 Diamond Hill Rd, Berkeley Heights, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 273-4300.

Kelsey Licato is licensed to practice in New Jersey (license number 26NJ01061700) 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 1558964635.

Contact Information

	Kelsey Licato, APN
	1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104
	(908) 273-4300
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelsey Licato
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1 Diamond Hill Rd, Berkeley Heights, New Jersey
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:

Kelsey Licato graduated from nursing school in 2020

NPI Data:

NPI Number: 1558964635
Provider Enumeration Date: 11/19/2020
Last Update Date: 11/19/2020

Medicare PECOS Information:

PECOS PAC ID: 5799190245
Enrollment ID: I20210216002084

Medical Identifiers

Medical identifiers for Kelsey Licato such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558964635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	26NJ01061700 (New Jersey)	Secondary
363L00000X	Nurse Practitioner	26NJ01061700 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Summit Medical Group Pa	5395642276	1247

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. Kelsey Licato allows following entities to bill medicare on her behalf.

Entity Name	Summit Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011

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. Kelsey Licato 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
Kelsey Licato, APN 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300	Kelsey Licato, APN 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300

Reviews and Comments

Nurse Practitioner Nurses in Berkeley Heights, NJ

Jemima Chong, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8991 Fax: 908-673-7391
Chikara Okafor, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-273-4300
Mervat Hallon, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-673-7157 Fax: 855-865-3168
Evangeline S. Hance, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Road, Berkeley Heights, NJ 07922 Phone: 908-273-4300
Mary Alice Saporito, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922 Phone: 908-273-4300 Fax: 908-219-3011
Mrs. Erin Lahey, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8880 Fax: 908-277-8796
Tatiana Bovgirya, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 704 Plainfield Ave, Berkeley Heights, NJ 07922 Phone: 347-293-9079

Kelsey Licato, APN - Medicare Nurse Practitioner in Berkeley Heights, NJ