Athena Lickel, PHD in Madison, WI - Medicare Psychologist Provider

Athena Lickel, PHD is a medicare enrolled "Psychologist - Clinical" provider in Madison, Wisconsin. Her current practice location is 1500 Highland Ave, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 890-3077.

Athena Lickel is licensed to practice in Wisconsin (license number 3008-57) 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 1740692631.

Contact Information

	Athena Lickel, PHD
	1500 Highland Ave, Madison, WI 53705-2274
	(608) 890-3077
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Athena Lickel
Gender	Female
Speciality	Psychologist - Clinical
Location	1500 Highland Ave, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740692631
Provider Enumeration Date: 05/27/2014
Last Update Date: 05/27/2014

Medicare PECOS Information:

PECOS PAC ID: 0143545897
Enrollment ID: I20150220002190

Medical Identifiers

Medical identifiers for Athena Lickel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740692631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3008-57 (Wisconsin)	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. Athena Lickel allows following entities to bill medicare on her behalf.

Entity Name	Group Health Cooperative Of South Central Wisconsin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306

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. Athena Lickel 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
Athena Lickel, PHD 1500 Highland Ave, Madison, WI 53705-2274 Ph: (608) 890-3077	Athena Lickel, PHD 1500 Highland Ave, Madison, WI 53705-2274 Ph: (608) 890-3077

Reviews and Comments

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Athena Lickel, PHD - Medicare Psychologist in Madison, WI