Dr Gustavo Licea, MD in Edinburg, TX - Medicare Anesthesiology

Dr Gustavo Licea, MD is a medicare enrolled "Anesthesiology" physician in Edinburg, Texas. He went to University Of Miami, Lm Miller School Of Medicine and graduated in 1984 and has 42 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Acema Group, Pa and his current practice location is 3513 W Alberta Rd, Edinburg, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 664-9771.

Dr Gustavo Licea is licensed to practice in Texas (license number J2657) 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 1871527036.

Contact Information

	Dr Gustavo Licea, MD
	3513 W Alberta Rd, Edinburg, TX 78539-8466
	(956) 664-9771
	(956) 664-9773

Map and Direction

Physician's Profile

Full Name	Dr Gustavo Licea
Gender	Male
Speciality	Anesthesiology
Experience	42 Years
Location	3513 W Alberta Rd, Edinburg, Texas
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:

Dr Gustavo Licea attended and graduated from University Of Miami, Lm Miller School Of Medicine in 1984

NPI Data:

NPI Number: 1871527036
Provider Enumeration Date: 07/11/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6800704834
Enrollment ID: I20031121000908

Medical Identifiers

Medical identifiers for Dr Gustavo Licea such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871527036	NPI	-	NPPES
130477604	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	J2657 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cornerstone Regional Hospital	Edinburg, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Acema Group, Pa	6901955244	11

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 Gustavo Licea allows following entities to bill medicare on his behalf.

Entity Name	Acema Group, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841438785 PECOS PAC ID: 6901955244 Enrollment ID: O20090518000068

Entity Name	Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346570355 PECOS PAC ID: 7012045685 Enrollment ID: O20100503000712

Entity Name	Northstar Anesthesia Ii Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102

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 Gustavo Licea 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 Gustavo Licea, MD Po Box 720550, Mcallen, TX 78504-0550 Ph: (956) 664-9771	Dr Gustavo Licea, MD 3513 W Alberta Rd, Edinburg, TX 78539-8466 Ph: (956) 664-9771

Reviews and Comments

Anesthesiology Doctors in Edinburg, TX

Zbigniew Kusmierz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3513 W Alberta Rd, Edinburg, TX 78539 Phone: 956-664-9771 Fax: 956-664-9773
Dr. Miguel Agustin Carpio Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5501 S Mccoll Rd, Edinburg, TX 78539 Phone: 956-362-8677
Raymundo G Matar, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5415 S Mccoll Rd, Edinburg, TX 78539 Phone: 956-661-0529 Fax: 956-618-4639
Mrs. Ruth D Powers, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3513 W Alberta Rd, Edinburg, TX 78539 Phone: 956-664-9771 Fax: 956-664-9773
Timothy R Andrews, CRNA Anesthesiology Medicare: Medicare Enrolled Practice Location: 3513 W Alberta Rd, Edinburg, TX 78539 Phone: 956-664-9771 Fax: 956-664-9773
Jose Noe Herrera, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5415 S Mccoll Rd, Edinburg, TX 78539 Phone: 956-661-0529 Fax: 956-618-4639
Lawrence R Gelman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5501 S Mccoll Rd, Edinburg, TX 78539 Phone: 956-661-0529 Fax: 956-618-4639

Dr Gustavo Licea, MD - Medicare Anesthesiology in Edinburg, TX