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

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Dr Jelena A Licina, MD is a medicare enrolled "Internal Medicine" physician in Maplewood, Minnesota. 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 does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 NameDr Jelena A Licina
GenderFemale
SpecialityInternal Medicine
Location1575 Beam Ave, Maplewood, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1316921687NPI-NPPES
268901400MedicaidFL
59135727MedicaidCO
029545OtherCOKAISER COMMERCIAL NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 73953 (Minnesota)Primary
207R00000XInternal Medicine ME 88772 (Florida)Secondary
207R00000XInternal Medicine 50835 (Colorado)Secondary

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 NameColorado Permanente Medical Group PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760599724
PECOS PAC ID: 1254238454
Enrollment ID: O20031216000640

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 AddressPractice 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    

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.