Mr Samuel David Licata, MD - Medicare General Surgery in Steubenville, OH

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Mr Samuel David Licata, MD is a medicare enrolled "Surgery" physician in Steubenville, Ohio. He went to West Virginia University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Rehab-bray Llc, Trinity West and his current practice location is 4000 Johnson Rd, 2nd Floor, Steubenville, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 266-5959.

Mr Samuel David Licata is licensed to practice in Ohio (license number 35064482) 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 1710973870.

Contact Information

Mr Samuel David Licata, MD
4000 Johnson Rd, 2nd Floor,
Steubenville, OH 43952-2364
(740) 266-5959
(740) 266-5957

Map and Direction




Physician's Profile

Full NameMr Samuel David Licata
GenderMale
SpecialityGeneral Surgery
Experience34 Years
Location4000 Johnson Rd, Steubenville, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Samuel David Licata attended and graduated from West Virginia University School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1710973870
  • Provider Enumeration Date: 09/23/2005
  • Last Update Date: 04/27/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7719984350
  • Enrollment ID: I20130628000497

Medical Identifiers

Medical identifiers for Mr Samuel David Licata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710973870NPI-NPPES
0126291000MedicaidWV
0188381MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 18107 (West Virginia)Secondary
208600000XSurgery 35064482 (Ohio)Primary
208600000XSurgery MD048163L (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trinity Medical Ctr East &trinity Medical Ctr WestSteubenville, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rehab-bray Llc852725646064
Trinity West5496648875134

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. Mr Samuel David Licata allows following entities to bill medicare on his behalf.
Entity NameTrinity West
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043234677
PECOS PAC ID: 5496648875
Enrollment ID: O20040209000132

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. Mr Samuel David Licata 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 AddressPractice Location Address
Mr Samuel David Licata, MD
380 Summit Ave, Mso Physician Billing,
Steubenville, OH 43952-2667

Ph: (740) 266-5959		Mr Samuel David Licata, MD
4000 Johnson Rd, 2nd Floor,
Steubenville, OH 43952-2364

Ph: (740) 266-5959

Reviews and Comments


Surgery Doctors in Steubenville, OH

Mr. Dominic Anthony Macedonia, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 523 North Fourth St, Steubenville, OH 43952
Phone: 740-282-1144    Fax: 740-282-2374
Jayapal G Reddy, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4100 Johnson Rd Ste 202, Steubenville, OH 43952
Phone: 740-282-8746    Fax: 740-282-2800
Edward J. Picardi, M.D., F.A.C.S.
Surgery
Medicare: Medicare Enrolled
Practice Location: 4000 Johnson Rd Fl 2, Steubenville, OH 43952
Phone: 740-266-5956    Fax: 740-266-5957

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.