Dr Mark R Licht, MD - Medicare Urology in Orlando, FL

  1. Home
  2. Urology
  3. FL
  4. Orlando
Dr Mark R Licht, MD is a medicare enrolled "Urology" physician in Orlando, Florida. He went to University Of Rochester School Of Medicine And Dentistry and graduated in 1988 and has 38 years of diverse experience with area of expertise as Urology. He is a member of the group practice Florida Hospital Medical Group Inc and his current practice location is 258 S Chickasaw Trl Ste 202, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 303-6865.

Dr Mark R Licht is licensed to practice in Florida (license number ME68004) 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 1306841473.

Contact Information

Dr Mark R Licht, MD
258 S Chickasaw Trl Ste 202,
Orlando, FL 32825-3501
(407) 303-6865
(407) 303-6537

Map and Direction




Physician's Profile

Full NameDr Mark R Licht
GenderMale
SpecialityUrology
Experience38 Years
Location258 S Chickasaw Trl Ste 202, Orlando, Florida
Accepts Medicare AssignmentsYes. 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 Mark R Licht attended and graduated from University Of Rochester School Of Medicine And Dentistry in 1988
  NPI Data:
  • NPI Number: 1306841473
  • Provider Enumeration Date: 06/16/2005
  • Last Update Date: 07/17/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6800999293
  • Enrollment ID: I20070305000499

Medical Identifiers

Medical identifiers for Dr Mark R Licht such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306841473NPI-NPPES
101986000MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology ME68004 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventhealth OrlandoOrlando, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Hospital Medical Group Inc07491861531735

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 Mark R Licht allows following entities to bill medicare on his behalf.
Entity NameFlorida Hospital Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225034234
PECOS PAC ID: 0749186153
Enrollment ID: O20031208000807
Entity NameNorth Brevard Medical Support Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609834886
PECOS PAC ID: 7618870296
Enrollment ID: O20040130000385
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356654495
PECOS PAC ID: 2860688728
Enrollment ID: O20170602001215

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 Mark R 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 AddressPractice Location Address
Dr Mark R Licht, MD
805 Century Medical Dr Ste C,
Titusville, FL 32796-2100

Ph: (321) 268-6868		Dr Mark R Licht, MD
258 S Chickasaw Trl Ste 202,
Orlando, FL 32825-3501

Ph: (407) 303-6865

Reviews and Comments


Urology Doctors in Orlando, FL

Robert Anthony Badalament, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 601 E Rollins St, Orlando, FL 32803
Phone: 407-897-3499    Fax: 407-896-9454
Nabil Hilwa, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 7301 Stonerock Cir, Orlando, FL 32819
Phone: 407-298-6950    Fax: 407-578-2354
Mr. Ahmad Saeed Imam, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 10155 Dowden Rd Ste 200, Orlando, FL 32832
Phone: 321-842-6955    Fax: 321-843-7469
Dr. George Frederick Ellis, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 89 W Copeland Dr, Orlando, FL 32806
Phone: 321-842-6910    Fax: 321-843-5998
Albert Michael Ong, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 41 W Kaley St, Orlando, FL 32806
Phone: 407-843-6645    Fax: 407-843-4519
Jason Cheng-en Sea, MD, FRCSC
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2101 Park Center Dr Ste 130, Orlando, FL 32835
Phone: 407-298-6950    Fax: 407-578-2354
Joshua Adam Earl, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1812 N Mills Ave, Orlando, FL 32803
Phone: 407-897-3499    Fax: 407-896-9454

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.