Christopher Licea, DPT in Granite Falls, NC - Medicare Physical Therapist Provider

Christopher Licea, DPT is a medicare enrolled "Physical Therapist" provider in Granite Falls, North Carolina. His current practice location is 160 River Bend Dr Ste 104, Granite Falls, North Carolina. You can reach out to his office (for appointments etc.) via phone at (828) 212-5098.

Christopher Licea is licensed to practice in North Carolina (license number P22816) 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 1588382709.

Contact Information

	Christopher Licea, DPT
	160 River Bend Dr Ste 104, Granite Falls, NC 28630-9389
	(828) 212-5098
	(828) 313-0376

Map and Direction

Healthcare Provider's Profile

Full Name	Christopher Licea
Gender	Male
Speciality	Physical Therapist
Location	160 River Bend Dr Ste 104, Granite Falls, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588382709
Provider Enumeration Date: 08/15/2022
Last Update Date: 05/14/2024

Medicare PECOS Information:

PECOS PAC ID: 8325401441
Enrollment ID: I20230822004098

Medical Identifiers

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

Identifier	Type	State	Issuer
1588382709	NPI	-	NPPES
P22816	Other	NC	PT LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT39209 (Florida)	Secondary
225100000X	Physical Therapist	P22816 (North Carolina)	Primary

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. Christopher Licea allows following entities to bill medicare on his behalf.

Provider Name	Highline Physical Therapy Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477797991 PECOS PAC ID: 8820172984 Enrollment ID: O20090810000344

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. Christopher 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
Christopher Licea, DPT 3280 Woodbriar Ln, Tallahassee, FL 32303-7563 Ph: () -	Christopher Licea, DPT 160 River Bend Dr Ste 104, Granite Falls, NC 28630-9389 Ph: (828) 212-5098

Reviews and Comments

Physical Therapist in Granite Falls, NC

Mr. Michael C Malone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5160 Landing View Dr, Granite Falls, NC 28630 Phone: 828-310-2998 Fax: 828-396-5649
Jordan Paul Rodrigues, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 160 River Bend Dr Ste 104, Granite Falls, NC 28630 Phone: 828-572-7350
Mr. Kyle Alden Clontz, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4132 Hickory Blvd, Granite Falls, NC 28630 Phone: 828-396-3168 Fax: 828-728-8317
Dr. Jeffrey Michael Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Winwood Cir, Granite Falls, NC 28630 Phone: 321-288-9440

Christopher Licea, DPT - Medicare Physical Therapist in Granite Falls, NC