Dr Michael John Licata, MD in Clearwater, FL

Dr Michael John Licata, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Clearwater, Florida. He graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Clearwater Pathology Associates and his current practice location is 300 Pinellas St, Clearwater, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 734-6635.

Dr Michael John Licata is licensed to practice in Florida (license number ME144327) 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 1780664961.

Contact Information

	Dr Michael John Licata, MD
	300 Pinellas St, Clearwater, FL 33756-3804
	(727) 734-6635
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Michael John Licata
Gender	Male
Speciality	Pathology
Experience	21 Years
Location	300 Pinellas St, Clearwater, Florida
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 Michael John Licata graduated from medical school in 2004

NPI Data:

NPI Number: 1780664961
Provider Enumeration Date: 01/22/2006
Last Update Date: 07/15/2021

Medicare PECOS Information:

PECOS PAC ID: 9537599410
Enrollment ID: I20200416000774

Medical Identifiers

Medical identifiers for Dr Michael John Licata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780664961	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	0101239523 (Virginia)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	ME144327 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Morton Plant Mease Healthcare Countryside	Safety harbor, FL	Hospital
Morton Plant Hospital	Clearwater, FL	Hospital
Mease Dunedin Hospital	Dunedin, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clearwater Pathology Associates	9931131513	10

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 Michael John Licata allows following entities to bill medicare on his behalf.

Entity Name	Clearwater Pathology Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629138250 PECOS PAC ID: 9931131513 Enrollment ID: O20050902000601

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 Michael John Licata 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 Michael John Licata, MD 300 Pinellas St, Clearwater, FL 33756-3804 Ph: (727) 462-7062	Dr Michael John Licata, MD 300 Pinellas St, Clearwater, FL 33756-3804 Ph: (727) 734-6635

Reviews and Comments

Pathology Doctors in Clearwater, FL

Antonela C Zanchi, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Pinellas St, Ms-32, Clearwater, FL 33756 Phone: 727-462-7062
Ronald R Willey, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1927 Cove Lane, Clearwater, FL 33764 Phone: 727-536-0687
Robert S Shibata, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000
Dr. Nicholas Lancia, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2631 Mccormick Dr Ste 101, Clearwater, FL 33759 Phone: 727-842-4848 Fax: 727-842-9513
George D Schaefer, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Pinellas St, Ms-32, Clearwater, FL 33756 Phone: 727-462-7062
Dr. Kimiko Takezawa, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 13770 58th St N, Suite 309, Clearwater, FL 33760 Phone: 727-539-1395 Fax: 727-539-1397

Dr Michael John Licata, MD - Medicare Pathology in Clearwater, FL