Dr Lauren Kemp Licina, MD is a medicare enrolled "Anesthesiology - Pediatric Anesthesiology" physician in Shaker Heights, Ohio. She went to Georgetown University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Cleveland Clinic Foundation and her current practice location is
3256 Ardmore Rd, Shaker Heights, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 798-5974.
Dr Lauren Kemp Licina is licensed to practice in Ohio (license number 35.131366) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235495680.
Physician's Profile
| Full Name | Dr Lauren Kemp Licina |
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| Gender | Female |
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| Speciality | Anesthesiology |
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| Experience | 12 Years |
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| Location | 3256 Ardmore Rd, Shaker Heights, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Lauren Kemp Licina attended and graduated from Georgetown University School Of Medicine in 2012
NPI Data:
- NPI Number: 1235495680
- Provider Enumeration Date: 04/10/2012
- Last Update Date: 09/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 2860759180
- Enrollment ID: I20171121003435
Medical Identifiers
Medical identifiers for Dr Lauren Kemp Licina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235495680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | 35.131366 (Ohio) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cleveland Clinic Foundation | 1850203555 | 5690 |
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 Lauren Kemp Licina allows following entities to bill medicare on her behalf.
| Entity Name | The Cleveland Clinic Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049 |
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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 Lauren Kemp Licina 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 |
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Dr Lauren Kemp Licina, MD
525 E 68th St,
New York, NY 10065-4870
Ph: (212) 746-2959 | Dr Lauren Kemp Licina, MD
3256 Ardmore Rd,
Shaker Heights, OH 44120-3402
Ph: (216) 798-5974 |
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