Dr Phillip Martine Drlicka, DDS is a medicare enrolled "Dentist" provider in Pensocola, Florida. His current practice location is
901 N Warrington Rd, Pensocola, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 455-1323.
Dr Phillip Martine Drlicka is licensed to practice in Florida (license number DN12681) 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 1942277793.
Healthcare Provider's Profile
Full Name | Dr Phillip Martine Drlicka |
---|
Gender | Male |
---|
Speciality | Dentist |
---|
Location | 901 N Warrington Rd, Pensocola, Florida |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942277793
- Provider Enumeration Date: 03/01/2006
- Last Update Date: 12/04/2015
Medicare PECOS Information:
- PECOS PAC ID: 1355642539
- Enrollment ID: I20151211001163
Medical Identifiers
Medical identifiers for Dr Phillip Martine Drlicka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942277793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DN12681 (Florida) | Primary |
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 Phillip Martine Drlicka 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 Phillip Martine Drlicka, DDS 901n New Warrington Rd, Pensacola, FL 32506-4250 Ph: (850) 455-1323 | Dr Phillip Martine Drlicka, DDS 901 N Warrington Rd, Pensocola, FL 32506 Ph: (850) 455-1323 |
Reviews and Comments