Dr Paul J Licata, DO in New London, CT

Dr Paul J Licata, DO is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in New London, Connecticut. His current practice location is 492 Montauk Ave, New London, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 443-0305.

Dr Paul J Licata is licensed to practice in Connecticut (license number 000413) 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 1225036981.

Contact Information

	Dr Paul J Licata, DO
	492 Montauk Ave, New London, CT 06320-4615
	(860) 443-0305
	(860) 443-0823

Map and Direction

Physician's Profile

Full Name	Dr Paul J Licata
Gender	Male
Speciality
Experience	Years
Location	492 Montauk Ave, New London, Connecticut
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 Paul J Licata attended and graduated from in

NPI Data:

NPI Number: 1225036981
Provider Enumeration Date: 07/07/2005
Last Update Date: 06/23/2025

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Paul J Licata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225036981	NPI	-	NPPES
PL52716	Medicaid	RI
004242707	Medicaid	CT
001004134	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	000413 (Connecticut)	Primary
207RP1001X	Internal Medicine - Pulmonary Disease	DO00565 (Rhode Island)	Secondary

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 Paul J 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 Paul J Licata, DO 492 Montauk Ave, New London, CT 06320-4615 Ph: (860) 443-0305	Dr Paul J Licata, DO 492 Montauk Ave, New London, CT 06320-4615 Ph: (860) 443-0305

Reviews and Comments

Internal Medicine Doctors in New London, CT

Yardley Brice, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Syeda Kanza Afzal, Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Dr. Pradnya Velankar, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Mical S Campbell, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: Coastal Digestive Diseases, 234a Bank St, New London, CT 06320 Phone: 860-442-0290 Fax: 860-442-2136
Suzanne J Klekotka, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 155 Montauk Ave, New London, CT 06320 Phone: 860-444-2223 Fax: 860-440-3153
Dr. John Edward Madsen, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 234a Bank St, New London, CT 06320 Phone: 860-442-0290 Fax: 860-442-2136
Robert J Keltner, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 155 Montauk Avenue, New London, CT 06320 Phone: 860-444-2223 Fax: 860-440-3153

Dr Paul J Licata, DO - Medicare in New London, CT