Dr Jelena A Licina, MD in Maplewood, MN - Medicare Internal Medicine

Dr Jelena A Licina, MD is a medicare enrolled "Internal Medicine" physician in Maplewood, Minnesota. She graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Colorado Permanente Medical Group Pc, Northwest Hospital Medicine Physicians Llc and her current practice location is 1575 Beam Ave, Maplewood, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 232-2000.

Dr Jelena A Licina is licensed to practice in Minnesota (license number 73953) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316921687.

Contact Information

	Dr Jelena A Licina, MD
	1575 Beam Ave, Maplewood, MN 55109-1126
	(651) 232-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jelena A Licina
Gender	Female
Speciality	Internal Medicine
Experience	29 Years
Location	1575 Beam Ave, Maplewood, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jelena A Licina graduated from medical school in 1996

NPI Data:

NPI Number: 1316921687
Provider Enumeration Date: 12/01/2005
Last Update Date: 05/15/2024

Medicare PECOS Information:

PECOS PAC ID: 5092706366
Enrollment ID: I20120515000667

Medical Identifiers

Medical identifiers for Dr Jelena A Licina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316921687	NPI	-	NPPES
268901400	Medicaid	FL
59135727	Medicaid	CO
029545	Other	CO	KAISER COMMERCIAL NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	73953 (Minnesota)	Primary
207R00000X	Internal Medicine	ME 88772 (Florida)	Secondary
207R00000X	Internal Medicine	50835 (Colorado)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Trios Health	Kennewick, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Colorado Permanente Medical Group Pc	1254238454	1122
Northwest Hospital Medicine Physicians Llc	6406805449	49

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 Jelena A Licina allows following entities to bill medicare on her behalf.

Entity Name	Catholic Health Initiatives Colorado
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462

Entity Name	Colorado Permanente Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640

Entity Name	Portercare Adventist Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760761928 PECOS PAC ID: 0941110886 Enrollment ID: O20090115000327

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 Jelena A Licina 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 Jelena A Licina, MD 1700 University Ave W, Saint Paul, MN 55104-3727 Ph: (651) 232-1123	Dr Jelena A Licina, MD 1575 Beam Ave, Maplewood, MN 55109-1126 Ph: (651) 232-2000

Reviews and Comments

Internal Medicine Doctors in Maplewood, MN

Andrzej Petryk, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1580 Beam Ave, Maplewood, MN 55109 Phone: 651-779-7978 Fax: 651-779-7656
Dr. Rahul Koranne, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7800
Sherry A Moriarty, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Beam Ave, Maplewood, MN 55109 Phone: 651-779-2500 Fax: 651-770-8834
Endea J Curry, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2165 White Bear Ave N, Maplewood, MN 55109 Phone: 651-523-9800 Fax: 651-523-9801
Madison Therese Brickner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2945 Hazelwood St Ste 100, Maplewood, MN 55109 Phone: 651-232-7800
Dr. Thomas Martin Hauth, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2945 Hazelwood St, Maplewood, MN 55109 Phone: 651-232-7800
Dominic Jamil Haddad, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7000

Dr Jelena A Licina, MD - Medicare Internal Medicine in Maplewood, MN