Dr Wade Kc Licup, MD in Vista, CA - Medicare Family Practice

Dr Wade Kc Licup, MD is a medicare enrolled "Family Medicine" physician in Vista, California. He graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice The Regents Of The University Of California, Scripps Health and his current practice location is 130 Cedar Rd, Vista, California. You can reach out to his office (for appointments etc.) via phone at (760) 806-5500.

Dr Wade Kc Licup is licensed to practice in California (license number A179911) 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 1881157998.

Contact Information

	Dr Wade Kc Licup, MD
	130 Cedar Rd, Vista, CA 92083-5102
	(760) 806-5500
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Wade Kc Licup
Gender	Male
Speciality	Family Practice
Experience	6 Years
Location	130 Cedar Rd, Vista, California
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 Wade Kc Licup graduated from medical school in 2019

NPI Data:

NPI Number: 1881157998
Provider Enumeration Date: 04/08/2019
Last Update Date: 04/28/2023

Medicare PECOS Information:

PECOS PAC ID: 2163805292
Enrollment ID: I20220822003202

Medical Identifiers

Medical identifiers for Dr Wade Kc Licup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881157998	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A179911 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Regents Of The University Of California	1355248584	1333
Scripps Health	9234033853	1388

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 Wade Kc Licup allows following entities to bill medicare on his behalf.

Entity Name	Scripps Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891110888 PECOS PAC ID: 5294958815 Enrollment ID: O20140528001538

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 Wade Kc Licup 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 Wade Kc Licup, MD 10790 Rancho Bernardo Rd, San Diego, CA 92127-5705 Ph: (760) 806-5500	Dr Wade Kc Licup, MD 130 Cedar Rd, Vista, CA 92083-5102 Ph: (760) 806-5500

Reviews and Comments

Family Medicine Doctors in Vista, CA

Mary C. Cueva, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 S Melrose Dr Ste 200, Vista, CA 92081 Phone: 760-291-6700 Fax: 760-330-9331
Kristina Lepard, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 S Santa Fe Ave, Vista, CA 92084 Phone: 760-941-8888
Mrs. Deisha Malones Wilson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Thunder Dr, Vista, CA 92083 Phone: 760-941-9002 Fax: 760-630-2515
Alexander Shaft, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Cedar Rd, Vista, CA 92083 Phone: 760-806-5431
Sophia Le Bradley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Cedar Rd, Vista, CA 92083 Phone: 760-806-5500
Dr. Jennifer T Lee, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Cedar Rd, Vista, CA 92083 Phone: 760-827-7210
Alice E. Besong, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000

Dr Wade Kc Licup, MD - Medicare Family Practice in Vista, CA