Dr Jessica Ann Licht, DDS in Bad Axe, MI - Medicare Dentist Provider

Dr Jessica Ann Licht, DDS is a medicare enrolled "Dentist" provider in Bad Axe, Michigan. Her current practice location is 1080 S Van Dyke Rd Ste A, Bad Axe, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 623-0137.

Dr Jessica Ann Licht is licensed to practice in Michigan (license number 2901021568) 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 1669851002.

Contact Information

	Dr Jessica Ann Licht, DDS
	1080 S Van Dyke Rd Ste A, Bad Axe, MI 48413-9635
	(989) 623-0137
	(989) 921-4977

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jessica Ann Licht
Gender	Female
Speciality	Dentist
Location	1080 S Van Dyke Rd Ste A, Bad Axe, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669851002
Provider Enumeration Date: 05/19/2015
Last Update Date: 04/09/2021

Medicare PECOS Information:

PECOS PAC ID: 5799097184
Enrollment ID: I20150626000537

Medical Identifiers

Medical identifiers for Dr Jessica Ann Licht such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669851002	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2901021568 (Michigan)	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. Dr Jessica Ann Licht allows following entities to bill medicare on her behalf.

Entity Name	Great Lakes Bay Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871684761 PECOS PAC ID: 2466369046 Enrollment ID: O20040126000171

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 Jessica Ann Licht 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 Jessica Ann Licht, DDS 501 Lapeer Ave, Saginaw, MI 48607-1203 Ph: (989) 759-6464	Dr Jessica Ann Licht, DDS 1080 S Van Dyke Rd Ste A, Bad Axe, MI 48413-9635 Ph: (989) 623-0137

Reviews and Comments

Dentist in Bad Axe, MI

Dr. Mark W Paganini I, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1080 S Van Dyke Rd, Suite C, Bad Axe, MI 48413 Phone: 989-269-9769 Fax: 989-269-8778
Dr. Justin D Straight, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 223 E Huron Ave, Bad Axe, MI 48413 Phone: 989-269-9716 Fax: 989-269-7701
Dr. Robert Kevin Vandevelde, DDS Dentist Medicare: Medicare Enrolled Practice Location: 124 N Hanselman St, Bad Axe, MI 48413 Phone: 989-269-8401 Fax: 989-269-2031
Dr. Scott Michael Behnan, D.D.S, M.S, Dentist Medicare: Not Enrolled in Medicare Practice Location: 118 N Hanselman St, Bad Axe, MI 48413 Phone: 989-269-6811
Dr. Michael T Bills, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1011 S Van Dyke Rd, Bad Axe, MI 48413 Phone: 989-269-9704 Fax: 989-269-0101
Dr. Ross Richard Matheson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 124 N Hanselman St, Bad Axe, MI 48413 Phone: 248-605-1227

Dr Jessica Ann Licht, DDS - Medicare Dentist in Bad Axe, MI