Daniel J Licht, MD in Philadelphia, PA - Medicare Psychiatry & Neurology

Daniel J Licht, MD is a medicare enrolled "Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology" physician in Philadelphia, Pennsylvania. His current practice location is 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Neurology, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 590-1719.

Daniel J Licht is licensed to practice in Pennsylvania (license number MD068489L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023032539.

Contact Information

	Daniel J Licht, MD
	3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Neurology, Philadelphia, PA 19104-4319
	(215) 590-1719
	(215) 590-1771

Map and Direction

Physician's Profile

Full Name	Daniel J Licht
Gender	Male
Speciality	Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology
Location	3401 Civic Center Blvd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023032539
Provider Enumeration Date: 07/27/2006
Last Update Date: 10/23/2014

Medicare PECOS Information:

PECOS PAC ID: 1557424223
Enrollment ID: I20090107000521

Medical Identifiers

Medical identifiers for Daniel J Licht such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023032539	NPI	-	NPPES
001895942	Medicaid	PA
8852804	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD068489L (Pennsylvania)	Secondary
2084N0402X	Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology	MD068489L (Pennsylvania)	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. Daniel J Licht allows following entities to bill medicare on his behalf.

Entity Name	Childrens Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598869059 PECOS PAC ID: 1355253527 Enrollment ID: O20040216001108

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. Daniel J 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
Daniel J Licht, MD 100 E Penn Sq, 9th Floor, Philadelphia, PA 19107-3323 Ph: (267) 425-9258	Daniel J Licht, MD 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Neurology, Philadelphia, PA 19104-4319 Ph: (215) 590-1719

Reviews and Comments

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Madhulatha Paul, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lehigh Ave, Mab Bldg Ste 105, Philadelphia, PA 19125 Phone: 215-707-8496 Fax: 215-707-4086

Daniel J Licht, MD - Medicare Psychiatry & Neurology in Philadelphia, PA