Stacy Leigh Licht, PT, DPT in Cleveland, TN - Medicare Physical Therapist Provider

Stacy Leigh Licht, PT, DPT is a medicare enrolled "Physical Therapist" provider in Cleveland, Tennessee. Her current practice location is 500 Lebanon Valley Rd, Cleveland, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 310-0555.

Stacy Leigh Licht is licensed to practice in Tennessee (license number PT8088) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902048069.

Contact Information

	Stacy Leigh Licht, PT, DPT
	500 Lebanon Valley Rd, Cleveland, TN 37311-8477
	(423) 310-0555
	(423) 479-4421

Map and Direction

Healthcare Provider's Profile

Full Name	Stacy Leigh Licht
Gender	Female
Speciality	Physical Therapist
Location	500 Lebanon Valley Rd, Cleveland, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902048069
Provider Enumeration Date: 04/03/2009
Last Update Date: 08/01/2011

Medicare PECOS Information:

PECOS PAC ID: 4385789122
Enrollment ID: I20100304000866

Medical Identifiers

Medical identifiers for Stacy Leigh Licht such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902048069	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT8088 (Tennessee)	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. Stacy Leigh Licht allows following entities to bill medicare on her behalf.

Provider Name	Therapeutic Rehab Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164634820 PECOS PAC ID: 1658416482 Enrollment ID: O20100304000769

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. Stacy Leigh Licht 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
Stacy Leigh Licht, PT, DPT 500 Lebanon Valley Rd, Cleveland, TN 37311-8477 Ph: (423) 310-0555	Stacy Leigh Licht, PT, DPT 500 Lebanon Valley Rd, Cleveland, TN 37311-8477 Ph: (423) 310-0555

Reviews and Comments

Physical Therapist in Cleveland, TN

Dana Lee Slack, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 Dunhill Pl Nw Ste B, Cleveland, TN 37311 Phone: 423-559-0444 Fax: 423-559-0103
Kyley Rose, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3575 Keith St Nw Ste 205, Cleveland, TN 37312 Phone: 423-559-0444
Thomas Arden Beeler, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2400 N Ocoee St, Cleveland, TN 37311 Phone: 423-624-2696
Jace Phillips, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3575 Keith St Nw Ste 205, Cleveland, TN 37312 Phone: 423-559-0444
Mrs. Cynthia Seymour Moore, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 440 Stuart Rd Ne, Cleveland, TN 37312 Phone: 423-618-5618 Fax: 423-479-8300
Mrs. Jessica Anne Stone, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 500 Lebanon Valley Church Rd, Cleveland, TN 37311 Phone: 423-715-0300 Fax: 423-479-4421
Can Do Kids Pediatric Therapy Services, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 Mouse Creek Rd Nw, Cleveland, TN 37312 Phone: 423-476-7212 Fax: 423-476-1673

Stacy Leigh Licht, PT, DPT - Medicare Physical Therapist in Cleveland, TN