Mrs Andrea Marie Liccini, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Haddonfield, New Jersey. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice South Jersey Anesthesia And Pain Physicians Pc and her current practice location is
217 Ardmore Ave, Haddonfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 912-5191.
Mrs Andrea Marie Liccini is licensed to practice in New Jersey (license number 26NR12896700) 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 1730328659.
Provider's Profile
| Full Name | Mrs Andrea Marie Liccini |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 16 Years |
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| Location | 217 Ardmore Ave, Haddonfield, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Andrea Marie Liccini graduated from nursing school in 2008
NPI Data:
- NPI Number: 1730328659
- Provider Enumeration Date: 02/17/2009
- Last Update Date: 02/18/2015
Medicare PECOS Information:
- PECOS PAC ID: 8820155831
- Enrollment ID: I20090318000569
Medical Identifiers
Medical identifiers for Mrs Andrea Marie Liccini such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730328659 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 26NR12896700 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| South Jersey Anesthesia And Pain Physicians Pc | 0840181152 | 37 |
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. Mrs Andrea Marie Liccini allows following entities to bill medicare on her behalf.
| Entity Name | South Jersey Anesthesia And Pain Physicians Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700821352
PECOS PAC ID: 0840181152
Enrollment ID: O20040324000439 |
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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. Mrs Andrea Marie Liccini 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 |
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Mrs Andrea Marie Liccini, CRNA
217 Ardmore Ave,
Haddonfield, NJ 08033
Ph: (856) 912-5191 | Mrs Andrea Marie Liccini, CRNA
217 Ardmore Ave,
Haddonfield, NJ 08033
Ph: (856) 912-5191 |
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