John Paschal Licata, MD in Cullman, AL

John Paschal Licata, MD is a medicare enrolled "Pediatrics" physician in Cullman, Alabama. His current practice location is 1800 Al Highway 157, Cullman, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 735-5075.

John Paschal Licata is licensed to practice in North Carolina (license number 2020-00623) 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 1740711076.

Contact Information

	John Paschal Licata, MD
	1800 Al Highway 157, Cullman, AL 35058-1271
	(256) 735-5075
	(256) 964-3382

Map and Direction

Physician's Profile

Full Name	John Paschal Licata
Gender	Male
Speciality	Pediatrics
Location	1800 Al Highway 157, Cullman, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740711076
Provider Enumeration Date: 03/27/2017
Last Update Date: 05/14/2025

Medicare PECOS Information:

PECOS PAC ID: 8325324411
Enrollment ID: I20200812002375

Medical Identifiers

Medical identifiers for John Paschal Licata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740711076	NPI	-	NPPES
MD47191	Other	AL	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2020-00623 (North Carolina)	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. John Paschal Licata allows following entities to bill medicare on his behalf.

Entity Name	Carolinas Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819

Entity Name	Charlotte Pediatric Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710914171 PECOS PAC ID: 1658263298 Enrollment ID: O20040327000227

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. John Paschal 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 Address	Practice Location Address
John Paschal Licata, MD Po Box 2895, Cullman, AL 35056-2895 Ph: (256) 735-5075	John Paschal Licata, MD 1800 Al Highway 157, Cullman, AL 35058-1271 Ph: (256) 735-5075

Reviews and Comments

Pediatrics Doctors in Cullman, AL

Tamara Morris Sheffield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1965 Al Highway 157 Ste B, Cullman, AL 35058 Phone: 256-775-2722 Fax: 256-775-2648
Hope M Weeks, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2016 Main Ave Sw, Cullman, AL 35055 Phone: 256-775-0230
Lisa Karen Joines, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1900 Main Ave Sw, Cullman, AL 35055 Phone: 256-734-3759 Fax: 256-734-9764
Dr. James M Thomason, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 312 Arnold St Ne, Cullman, AL 35055 Phone: 256-734-0606 Fax: 256-734-5525
Christopher H Dodd, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1800 Al Highway 157, Cullman, AL 35058 Phone: 256-735-5075 Fax: 256-964-3382
Claire Elizabeth Crider Cordes, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1890 Al Highway 157 Ste 430, Cullman, AL 35058 Phone: 256-739-1575 Fax: 256-517-9328
Heidi Blair, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1167 County Road 437 Ste B, Cullman, AL 35055 Phone: 256-735-4632 Fax: 256-735-4639

John Paschal Licata, MD - Medicare Pediatrics in Cullman, AL