Alan J Licup, MD in Pleasant Prairie, WI - Medicare General Surgery

Alan J Licup, MD is a medicare enrolled "Surgery" physician in Pleasant Prairie, Wisconsin. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2006 and has 19 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is 12500 Aurora Dr, Pleasant Prairie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 854-5000.

Alan J Licup is licensed to practice in Wisconsin (license number 66270-20) 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 1205048246.

Contact Information

	Alan J Licup, MD
	12500 Aurora Dr, Pleasant Prairie, WI 53158
	(262) 854-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Alan J Licup
Gender	Male
Speciality	General Surgery
Experience	19 Years
Location	12500 Aurora Dr, Pleasant Prairie, Wisconsin
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:

Alan J Licup attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2006

NPI Data:

NPI Number: 1205048246
Provider Enumeration Date: 05/03/2007
Last Update Date: 10/07/2025

Medicare PECOS Information:

PECOS PAC ID: 0547484602
Enrollment ID: I20161004002703

Medical Identifiers

Medical identifiers for Alan J Licup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205048246	NPI	-	NPPES
100061195	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	66270-20 (Wisconsin)	Primary
208600000X	Surgery	036128087 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora Medical Center Kenosha	Kenosha, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3491

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. Alan J Licup allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Alan J Licup 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
Alan J Licup, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Alan J Licup, MD 12500 Aurora Dr, Pleasant Prairie, WI 53158 Ph: (262) 854-5000

Reviews and Comments

Surgery Doctors in Pleasant Prairie, WI

Dr. Markian J Kuzycz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-854-5000
Karl A Greene, MD Surgery Medicare: Medicare Enrolled Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8000 Fax: 262-577-8869
Dr. David Needle, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000
Majed Jandali, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St Ste 4880, Pleasant Prairie, WI 53158 Phone: 262-748-1001 Fax: 262-748-1020
Brian Christopher Hill, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158 Phone: 262-671-7530 Fax: 262-671-7535

Alan J Licup, MD - Medicare General Surgery in Pleasant Prairie, WI