Andrew Lichliter, MD - Medicare Diagnostic Radiology in Dallas, TX

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Andrew Lichliter, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Dallas, Texas. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Middle Tennessee Imaging Llc, Clarksville Imaging Center Llc, Adi Radiology Pc and his current practice location is 3500 Gaston Ave, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 820-7272.

Andrew Lichliter is licensed to practice in Tennessee (license number 61720) 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 1124447107.

Contact Information

Andrew Lichliter, MD
3500 Gaston Ave,
Dallas, TX 75246-2017
(214) 820-7272
Not Available

Map and Direction




Physician's Profile

Full NameAndrew Lichliter
GenderMale
SpecialityDiagnostic Radiology
Experience10 Years
Location3500 Gaston Ave, Dallas, Texas
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:
  • Andrew Lichliter graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1124447107
  • Provider Enumeration Date: 04/07/2014
  • Last Update Date: 03/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0941521561
  • Enrollment ID: I20201202002170

Medical Identifiers

Medical identifiers for Andrew Lichliter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124447107NPI-NPPES
363303401MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology Q8099 (Texas)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 61720 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Thomas West HospitalNashville, TNHospital
Williamson Medical CenterFranklin, TNHospital
Saint Thomas River Park HospitalMc minnville, TNHospital
Northcrest Medical CenterSpringfield, TNHospital
Stones River HospitalWoodbury, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Middle Tennessee Imaging Llc569874370661
Clarksville Imaging Center Llc670984252926
Adi Radiology Pc791123642767

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. Andrew Lichliter allows following entities to bill medicare on his behalf.
Entity NameNol Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003910688
PECOS PAC ID: 5890608186
Enrollment ID: O20031112000227
Entity NameClarksville Imaging Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043285539
PECOS PAC ID: 6709842529
Enrollment ID: O20041203000396
Entity NameMiddle Tennessee Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770667289
PECOS PAC ID: 5698743706
Enrollment ID: O20110407000702
Entity NameWisconsin Radiology Specialists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568446003
PECOS PAC ID: 2961314091
Enrollment ID: O20190403002179
Entity NameAdi Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083266761
PECOS PAC ID: 7911236427
Enrollment ID: O20190909003468
Entity NamePremier Radiology Wisconsin Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952951154
PECOS PAC ID: 9537595533
Enrollment ID: O20200312001588

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. Andrew Lichliter 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
Andrew Lichliter, MD
3500 Gaston Ave,
Dallas, TX 75246-2017

Ph: () -		Andrew Lichliter, MD
3500 Gaston Ave,
Dallas, TX 75246-2017

Ph: (214) 820-7272

Reviews and Comments


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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.