Jacqueline Lee Lickliter, DO - Pediatrics in Boardman, OH

Jacqueline Lee Lickliter, DO is a Pediatrics physician based in Boardman, Ohio. Jacqueline Lee Lickliter is licensed to practice in Ohio (license number 34.012256) and her current practice location is 6505 Market St Ste 2100, Boardman, Ohio. She can be reached at her office (for appointments etc.) via phone at (330) 746-8040.

NPI number for Jacqueline Lee Lickliter is 1053671669 and her current mailing address is 1 Perkins Sq, Akron, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053671669.

Contact Information

Jacqueline Lee Lickliter, DO
6505 Market St Ste 2100,
Boardman, OH 44512-3457
(330) 746-8040
(330) 746-8025

Map and Direction




Physician's Profile

Full NameJacqueline Lee Lickliter
GenderFemale
SpecialityPediatrics
Location6505 Market St Ste 2100, Boardman, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053671669
  • Provider Enumeration Date: 05/17/2012
  • Last Update Date: 03/17/2021

Medical Identifiers

Medical identifiers for Jacqueline Lee Lickliter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053671669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 34.012256 (Ohio)Primary

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. Jacqueline Lee Lickliter is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Lee Lickliter, DO
1 Perkins Sq,
Akron, OH 44308-1063

Ph: (330) 746-8040
Jacqueline Lee Lickliter, DO
6505 Market St Ste 2100,
Boardman, OH 44512-3457

Ph: (330) 746-8040

Reviews and Comments


Pediatrics Doctors in Boardman, OH

Dr. Mary Joanna Mcintyre, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6505 Market St, Boardman, OH 44512
Phone: 330-746-9200    Fax: 330-746-9211
Deanna Marie Bellville, PPCNP-BC
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6505 Market St Bldg A1, Boardman, OH 44512
Phone: 330-746-8040    Fax: 330-746-8025
Dr. Heather Danielle Strawbridge, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 8423 Market St Ste 300, Boardman, OH 44512
Phone: 330-543-8885    Fax: 330-543-8890
Hi Moon Ahn, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6505 Market St, Boardman, OH 44512
Phone: 330-884-2425    
Dr. Stacy Lynn Generalovich, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6505 Market St Ste 2100, Boardman, OH 44512
Phone: 330-746-8040    Fax: 330-746-8025
Robert Peter Vandekappelle Jr., M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 6505 Market St Fl 2, Boardman, OH 44512
Phone: 330-629-6085    Fax: 330-629-7620

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.