Holly Lickwala, PT in Centralia, WA - Medicare Physical Therapy Provider

Holly Lickwala, PT is a medicare enrolled "Physical Therapist" provider in Centralia, Washington. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Washington Luna Care Physical Therapy Llc and her current practice location is 1118 View Ave, Centralia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 736-8273.

Holly Lickwala is licensed to practice in Washington (license number PT60272758) 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 1699912295.

Contact Information

	Holly Lickwala, PT
	1118 View Ave, Centralia, WA 98531-1870
	(360) 736-8273
	(360) 736-5053

Map and Direction

Healthcare Provider's Profile

Full Name	Holly Lickwala
Gender	Female
Speciality	Physical Therapy
Experience	21 Years
Location	1118 View Ave, Centralia, Washington
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:

Holly Lickwala graduated from medical school in 2003

NPI Data:

NPI Number: 1699912295
Provider Enumeration Date: 01/19/2009
Last Update Date: 08/21/2020

Medicare PECOS Information:

PECOS PAC ID: 3476617481
Enrollment ID: I20120821000167

Medical Identifiers

Medical identifiers for Holly Lickwala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699912295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	6214 (Arizona)	Secondary
225100000X	Physical Therapist	PT60272758 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Washington Luna Care Physical Therapy Llc	7416283817	110

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. Holly Lickwala allows following entities to bill medicare on her behalf.

Provider Name	King County Public Hospital District No 2
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557

Provider Name	Swedish Health Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831139724 PECOS PAC ID: 9537072814 Enrollment ID: O20031112000189

Provider Name	Grays Harbor County Public Hospital District No 1
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1740211028 PECOS PAC ID: 9032017256 Enrollment ID: O20031226000146

Provider Name	Washington Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1346808052 PECOS PAC ID: 7416283817 Enrollment ID: O20190723002308

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. Holly Lickwala 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
Holly Lickwala, PT 1118 View Ave, Centralia, WA 98531-1870 Ph: (360) 736-8273	Holly Lickwala, PT 1118 View Ave, Centralia, WA 98531-1870 Ph: (360) 736-8273

Reviews and Comments

Physical Therapist in Centralia, WA

Mr. Jason Allen Buono, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1118 View Ave, Centralia, WA 98531 Phone: 360-736-5273 Fax: 360-736-5053
Pt Northwest Of Longview, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1714 S Gold St, Centralia, WA 98531 Phone: 360-360-5532 Fax: 564-999-5722
Nancy Carol Jordan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1809 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-330-8844 Fax: 360-330-8623
Ms. Nancy Marie Emerick, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-330-8627 Fax: 360-330-8786
Keith Erik Schmidt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 914 S Scheuber Road, Providence Centralia Hospital, Centralia, WA 98532 Phone: 360-330-8720 Fax: 360-330-8737
Robert Prandi, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2700 Colonial Dr Apt 305, Centralia, WA 98531 Phone: 360-330-9346 Fax: 360-330-9347
Kenneth J Coombs, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 Alexander St, Centralia, WA 98531 Phone: 136-073-6408 Fax: 136-080-7214

Holly Lickwala, PT - Medicare Physical Therapist in Centralia, WA