Mr Michael R Licata, CRNA in Royal Oak, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Michael R Licata, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Royal Oak, Michigan. He went to Oakland College Of Medicine And Surgery and graduated in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northstar Anesthesia Of Michigan Iii Pllc and his current practice location is 3601 W 13 Mile Rd, Royal Oak, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 898-7784.

Mr Michael R Licata is licensed to practice in Michigan (license number 4704272498) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1356884746.

Contact Information

	Mr Michael R Licata, CRNA
	3601 W 13 Mile Rd, Royal Oak, MI 48073-6712
	(248) 898-7784
	(248) 898-8181

Map and Direction

Provider's Profile

Full Name	Mr Michael R Licata
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	8 Years
Location	3601 W 13 Mile Rd, Royal Oak, Michigan
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Michael R Licata attended and graduated from Oakland College Of Medicine And Surgery in 2016

NPI Data:

NPI Number: 1356884746
Provider Enumeration Date: 12/02/2016
Last Update Date: 12/02/2016

Medicare PECOS Information:

PECOS PAC ID: 3476835497
Enrollment ID: I20170126000747

Medical Identifiers

Medical identifiers for Mr Michael R Licata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356884746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704272498 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital Royal Oak	Royal oak, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Of Michigan Iii Pllc	7911325469	526

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 Michael R Licata allows following entities to bill medicare on his behalf.

Entity Name	William Beaumont Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811044878 PECOS PAC ID: 9335051093 Enrollment ID: O20040312000217

Entity Name	Surgical Centers Of Michigan Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1962463133 PECOS PAC ID: 1355393364 Enrollment ID: O20050218000062

Entity Name	Macomb Endoscopy Center Plc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1780923128 PECOS PAC ID: 1850536012 Enrollment ID: O20130319000064

Entity Name	Northstar Anesthesia Of Michigan Iii Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990

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 Michael R 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 Address	Practice Location Address
Mr Michael R Licata, CRNA 130 Town Center Dr, 203, Troy, MI 48084-1744 Ph: (248) 585-8250	Mr Michael R Licata, CRNA 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 898-7784

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Royal Oak, MI

Ban Batu, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-423-3144
Amie Hamper, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7784 Fax: 248-898-8181
Michelle Glaeser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073 Phone: 248-423-3144
Thomas Lundblad, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073 Phone: 248-423-3144
Patricia Ljubic, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, MI 48073 Phone: 248-423-3144
Catherine Wolfson, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, MI 48073 Phone: 248-423-2481
Nancy Berner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Beaumont Hospital - Royal Oak, Royal Oak, MI 48073 Phone: 248-898-7784 Fax: 248-898-8181

Mr Michael R Licata, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Royal Oak, MI