Dr Brian Licuanan, PHD in Irvine, CA - Medicare Clinical Psychologist Provider

Dr Brian Licuanan, PHD is a medicare enrolled "Psychologist - Counseling" provider in Irvine, California. He graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice John C Fremont Healthcare District, Telemedicine Group Pc and his current practice location is 17 Herringbone, Irvine, California. You can reach out to his office (for appointments etc.) via phone at (714) 469-1418.

Dr Brian Licuanan is licensed to practice in California (license number 27276) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508241779.

Contact Information

	Dr Brian Licuanan, PHD
	17 Herringbone, Irvine, CA 92620
	(714) 469-1418
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brian Licuanan
Gender	Male
Speciality	Clinical Psychologist
Experience	15 Years
Location	17 Herringbone, Irvine, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Brian Licuanan graduated from medical school in 2010

NPI Data:

NPI Number: 1508241779
Provider Enumeration Date: 07/29/2015
Last Update Date: 07/29/2015

Medicare PECOS Information:

PECOS PAC ID: 9830490325
Enrollment ID: I20151229002206

Medical Identifiers

Medical identifiers for Dr Brian Licuanan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508241779	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	27276 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
John C Fremont Healthcare District	5890689533	13
Telemedicine Group Pc	9830351824	40

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. Dr Brian Licuanan allows following entities to bill medicare on his behalf.

Entity Name	John C Fremont Healthcare District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750504270 PECOS PAC ID: 5890689533 Enrollment ID: O20040212000193

Entity Name	Tahoe Carson Valley Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834

Entity Name	Telemedicine Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326338237 PECOS PAC ID: 9830351824 Enrollment ID: O20120509000349

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. Dr Brian Licuanan 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
Dr Brian Licuanan, PHD 17 Herringbone, Irvine, CA 92620 Ph: (714) 469-1418	Dr Brian Licuanan, PHD 17 Herringbone, Irvine, CA 92620 Ph: (714) 469-1418

Reviews and Comments

Psychologist in Irvine, CA

Lori Johnson, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16485 Laguna Canyon Rd, Irvine, CA 92618 Phone: 949-534-2451
Dr. Sara Clancy Hernandez, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4199 Campus Dr, Suite 300, Irvine, CA 92612 Phone: 949-371-6135
Dr. Christopher Jan Mundale, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Corporate Park, Suite 215, Irvine, CA 92606 Phone: 949-398-7900 Fax: 949-398-7901
Dr. Keith R Peterson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6 Venture, Suite 350, Irvine, CA 92618 Phone: 949-683-8789 Fax: 949-581-4484
Dr. Galya Cohen, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 4790 Irvine Blvd Ste 105-558, Irvine, CA 92620 Phone: 949-414-8569
Dr. Uyen Bui, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4199 Campus Dr, Suite 550, Irvine, CA 92612 Phone: 949-870-9355
Raymond J Kim, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19712 Macarthur Blvd Ste 110, Irvine, CA 92612 Phone: 949-781-5952

Dr Brian Licuanan, PHD - Medicare Psychologist in Irvine, CA