Dr Paul John Licata, MD - Medicare Family Medicine in Anaheim, CA

Dr Paul John Licata, MD is a medicare enrolled "Family Medicine" physician in Anaheim, California. His current practice location is 1717 E Lincoln Ave, Anaheim, California. You can reach out to his office (for appointments etc.) via phone at (714) 635-2642.

Dr Paul John Licata is licensed to practice in California (license number A25662) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740361518.

Contact Information

Dr Paul John Licata, MD
1717 E Lincoln Ave,
Anaheim, CA 92805-4345
(714) 635-2642
(714) 635-8547

Map and Direction




Physician's Profile

Full NameDr Paul John Licata
GenderMale
SpecialityFamily Medicine
Location1717 E Lincoln Ave, Anaheim, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740361518
  • Provider Enumeration Date: 10/18/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062572159
  • Enrollment ID: I20081119000439

Medical Identifiers

Medical identifiers for Dr Paul John Licata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740361518NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A25662 (California)Primary

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 Paul John Licata allows following entities to bill medicare on his behalf.
Entity NameHealthpointe Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548201304
PECOS PAC ID: 0941299135
Enrollment ID: O20040511001815
Entity NameHealthpointe Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740221472
PECOS PAC ID: 0941299135
Enrollment ID: O20040707001463

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 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 AddressPractice Location Address
Dr Paul John Licata, MD
16702 Valley View Ave,
La Mirada, CA 90638-5824

Ph: (714) 367-5360
Dr Paul John Licata, MD
1717 E Lincoln Ave,
Anaheim, CA 92805-4345

Ph: (714) 635-2642

Reviews and Comments


Family Medicine Doctors in Anaheim, CA

Dino A. Imperial, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Lance C. Brunner, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Marites Mcmurtrey, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Steven Chao,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 408 S Beach Blvd, Suite 106, Anaheim, CA 92804
Phone: 714-995-5471    Fax: 714-995-5815
Edmond K Chu, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3055 W Orange Ave Ste 202, Anaheim, CA 92804
Phone: 714-952-0203    Fax: 714-952-1387
Warren U. Wong, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Jeff D. Tracy, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    

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.