Joseph Lewis Licht, DO is a medicare enrolled "Ophthalmology" physician in Crystal River, Florida. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2015 and has 11 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Abita Eye Group Llc, St Lukes At The Villages Pa, Vision One Inc and his current practice location is
1100 N Lyle Ave, Crystal River, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 320-2007.
Joseph Lewis Licht is licensed to practice in Florida (license number OS16173) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1497147680.
Physician's Profile
| Full Name | Joseph Lewis Licht |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 11 Years |
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| Location | 1100 N Lyle Ave, Crystal River, Florida |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Joseph Lewis Licht attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2015
NPI Data:
- NPI Number: 1497147680
- Provider Enumeration Date: 02/24/2015
- Last Update Date: 01/26/2026
Medicare PECOS Information:
- PECOS PAC ID: 3678868536
- Enrollment ID: I20211116003210
Medical Identifiers
Medical identifiers for Joseph Lewis Licht such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497147680 | NPI | - | NPPES |
| 112937700 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | OS16173 (Florida) | Primary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | OS16173 (Florida) | Secondary |
| 207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | OS16173 (Florida) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Abita Eye Group Llc | 4082957048 | 5 |
| St Lukes At The Villages Pa | 5294987905 | 15 |
| Vision One Inc | 9830197623 | 8 |
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. Joseph Lewis Licht allows following entities to bill medicare on his behalf.
| Entity Name | Vision One Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457308322
PECOS PAC ID: 9830197623
Enrollment ID: O20061114000436 |
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| Entity Name | Associated Comprehensive Eyecare P A |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407906159
PECOS PAC ID: 0749354157
Enrollment ID: O20080804000143 |
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| Entity Name | Central Florida Cataract And Laser Surgery Center, Inc. |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1508063884
PECOS PAC ID: 2365693959
Enrollment ID: O20121107000448 |
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| Entity Name | St Lukes At The Villages Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801144217
PECOS PAC ID: 5294987905
Enrollment ID: O20121204000015 |
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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. Joseph Lewis Licht 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 |
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Joseph Lewis Licht, DO
4330 Sheridan St # 102b,
Hollywood, FL 33021-1407
Ph: (954) 287-2010 | Joseph Lewis Licht, DO
1100 N Lyle Ave,
Crystal River, FL 34429-8741
Ph: (352) 320-2007 |
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