Richard Alfonso Licon, PA-C - Medicare Physician Assistant in Santa Ana, CA

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Richard Alfonso Licon, PA-C is a medicare enrolled "Physician Assistant" in Santa Ana, California. His current practice location is 1401 W 1st St Ste 101, Santa Ana, California. You can reach out to his office (for appointments etc.) via phone at (714) 542-9700.

Richard Alfonso Licon is licensed to practice in California (license number PA11666) 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 1740428101.

Contact Information

Richard Alfonso Licon, PA-C
1401 W 1st St Ste 101,
Santa Ana, CA 92703-3757
(714) 542-9700
Not Available

Map and Direction




Provider's Profile

Full NameRichard Alfonso Licon
GenderMale
SpecialityPhysician Assistant
Location1401 W 1st St Ste 101, Santa Ana, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740428101
  • Provider Enumeration Date: 01/23/2009
  • Last Update Date: 04/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6305882366
  • Enrollment ID: I20050630000289

Medical Identifiers

Medical identifiers for Richard Alfonso Licon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740428101NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA11666 (California)Primary

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. Richard Alfonso Licon 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 AddressPractice Location Address
Richard Alfonso Licon, PA-C
11 Technology Dr,
Irvine, CA 92618-2302

Ph: (949) 923-3250		Richard Alfonso Licon, PA-C
1401 W 1st St Ste 101,
Santa Ana, CA 92703-3757

Ph: (714) 542-9700

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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