Amanda Isabel Licea, PA-C in Austin, TX - Medicare Physician Assistant

Amanda Isabel Licea, PA-C is a medicare enrolled "Physician Assistant - Medical" in Austin, Texas. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Urology Austin Pllc and her current practice location is 608 Radam Ln, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 443-5988.

Amanda Isabel Licea is licensed to practice in Texas (license number PA08169) 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 1609110683.

Contact Information

	Amanda Isabel Licea, PA-C
	608 Radam Ln, Austin, TX 78745-1172
	(512) 443-5988
	(512) 443-5055

Map and Direction

Provider's Profile

Full Name	Amanda Isabel Licea
Gender	Female
Speciality	Physician Assistant
Experience	12 Years
Location	608 Radam Ln, Austin, 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:

Amanda Isabel Licea graduated from nursing school in 2012

NPI Data:

NPI Number: 1609110683
Provider Enumeration Date: 11/15/2012
Last Update Date: 09/22/2021

Medicare PECOS Information:

PECOS PAC ID: 2062724628
Enrollment ID: I20150710000175

Medical Identifiers

Medical identifiers for Amanda Isabel Licea such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609110683	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA08169 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Urology Austin Pllc	7810087905	61

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. Amanda Isabel Licea 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
Amanda Isabel Licea, PA-C 8240 N Mopac Expy Ste 100, Austin, TX 78759-8869 Ph: (512) 687-1950	Amanda Isabel Licea, PA-C 608 Radam Ln, Austin, TX 78745-1172 Ph: (512) 443-5988

Reviews and Comments

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Amanda Isabel Licea, PA-C - Medicare Physician Assistant in Austin, TX