David J Licini, MD in Bloomington, IN - Medicare Orthopedic Surgery

David J Licini, MD is a medicare enrolled "Orthopaedic Surgery" physician in Bloomington, Indiana. He went to Indiana University School Of Medicine and graduated in 2007 and has 18 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Indiana University Health Southern Indiana Physicians Llc and his current practice location is 1302 S Rogers St, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 333-2663.

David J Licini is licensed to practice in Indiana (license number 01071339A) 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 1801086343.

Contact Information

	David J Licini, MD
	1302 S Rogers St, Bloomington, IN 47403-4752
	(812) 333-2663
	(812) 676-4131

Map and Direction

Physician's Profile

Full Name	David J Licini
Gender	Male
Speciality	Orthopedic Surgery
Experience	18 Years
Location	1302 S Rogers St, Bloomington, Indiana
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:

David J Licini attended and graduated from Indiana University School Of Medicine in 2007

NPI Data:

NPI Number: 1801086343
Provider Enumeration Date: 07/31/2007
Last Update Date: 10/27/2021

Medicare PECOS Information:

PECOS PAC ID: 2668607623
Enrollment ID: I20131028001920

Medical Identifiers

Medical identifiers for David J Licini such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801086343	NPI	-	NPPES
201119230	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XS0114X	Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery	01071339A (Indiana)	Secondary
207X00000X	Orthopaedic Surgery	01071339A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health	Bloomington, IN	Home health agency
Indiana University Health Bloomington Hospital	Bloomington, IN	Hospital
Indiana University Health Bedford Hospital	Bedford, IN	Hospital
Indiana University Health	Indianapolis, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indiana University Health Southern Indiana Physicians Llc	6204748197	461

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. David J Licini allows following entities to bill medicare on his behalf.

Entity Name	Indiana University Health Southern Indiana Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556

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. David J Licini 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
David J Licini, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	David J Licini, MD 1302 S Rogers St, Bloomington, IN 47403-4752 Ph: (812) 333-2663

Reviews and Comments

Orthopaedic Surgery Doctors in Bloomington, IN

Dr. Brandon Royce Hood, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401 Phone: 812-333-2663
Dr. Timothy Martin Steiner, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 583 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-333-2663 Fax: 812-349-6206
Dr. Otto William Wickstrom Iii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 583 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-333-2663 Fax: 812-349-9206
Johnathon Patrick Shaffer, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 583 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-676-4460 Fax: 812-355-4092
Dr. Gregory M Fox, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 639 S Walker St, Suite E, Bloomington, IN 47403 Phone: 812-333-4000 Fax: 812-333-0611
James Robert Lindner, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401 Phone: 812-333-1933 Fax: 812-333-3991
Dale Dellacqua, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 639 S Walker St, Suite E, Bloomington, IN 47403 Phone: 812-333-4000 Fax: 812-333-0611

David J Licini, MD - Medicare Orthopedic Surgery in Bloomington, IN