| Dr Lauren Audrey Licata, MD | |
|
707 E Main St, Middletown, NY 10940-2650 | |
| (845) 333-7575 | |
| Not Available |
| Full Name | Dr Lauren Audrey Licata |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 20 Years |
| Location | 707 E Main St, Middletown, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023337763 | NPI | - | NPPES |
| 04182261 | Medicaid | NY | |
| 0105408 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 255MA08698600 (New Jersey) | Secondary |
| 2086S0102X | Surgery - Surgical Critical Care | 35123573 (Ohio) | Secondary |
| 208600000X | Surgery | 278537 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sullivan County Public Health Services Chha | Liberty, NY | Home health agency |
| Garnet Health Medical Center Catskills | Harris, NY | Hospital |
| Garnet Health Medical Center | Middletown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Garnet Health Doctors Pc | 8628293545 | 150 |
| Entity Name | Hudson Vista Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659666840 PECOS PAC ID: 8628240215 Enrollment ID: O20111003000643 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Entity Name | Garnet Health Doctors Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093138851 PECOS PAC ID: 8628293545 Enrollment ID: O20140710000189 |
| Entity Name | Acute Care Surgery Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20151020000038 |
| Entity Name | New York Surgicalist Services, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720663768 PECOS PAC ID: 7911306956 Enrollment ID: O20210525001982 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lauren Audrey Licata, MD 707 E Main St, Middletown, NY 10940-2650 Ph: (845) 333-7575 | Dr Lauren Audrey Licata, MD 707 E Main St, Middletown, NY 10940-2650 Ph: (845) 333-7575 |
Krassimir Atanassov, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-7575 Fax: 845-333-1343 | |
Sandeep Malhotra, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 95 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Howard Karpoff, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 95 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Dr. Elizabeth Christine Kao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-7575 | |
Justin Stufflebeam, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-6333 Fax: 845-333-7342 | |
Carlito Morilla, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 236 Crystal Run Rd, Middletown, NY 10941 Phone: 845-692-3111 Fax: 845-692-0125 |