Kenneth J Ulicny, MD in Shreveport, LA - Medicare Anesthesiology

Kenneth J Ulicny, MD is a medicare enrolled "Anesthesiology" physician in Shreveport, Louisiana. His current practice location is 1541 Kings Highway, Anesthesiology, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 626-4041.

Kenneth J Ulicny is licensed to practice in Virginia (license number 0101278328) 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 1275094476.

Contact Information

	Kenneth J Ulicny, MD
	1541 Kings Highway, Anesthesiology, Shreveport, LA 71130-3932
	(318) 626-4041
	Not Available

Map and Direction

Physician's Profile

Full Name	Kenneth J Ulicny
Gender	Male
Speciality	Anesthesiology
Location	1541 Kings Highway, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275094476
Provider Enumeration Date: 03/29/2019
Last Update Date: 02/14/2024

Medicare PECOS Information:

PECOS PAC ID: 1759611668
Enrollment ID: I20230907001520

Medical Identifiers

Medical identifiers for Kenneth J Ulicny such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275094476	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	0101278328 (Virginia)	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. Kenneth J Ulicny allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Of Virginia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20221205003063

Entity Name	Surgical Anesthesia Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811930647 PECOS PAC ID: 5890739205 Enrollment ID: O20230130001161

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. Kenneth J Ulicny 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
Kenneth J Ulicny, MD 2613 Atlantic Ave Apt 604, Virginia Beach, VA 23451-3179 Ph: (337) 200-1933	Kenneth J Ulicny, MD 1541 Kings Highway, Anesthesiology, Shreveport, LA 71130-3932 Ph: (318) 626-4041

Reviews and Comments

Anesthesiology Doctors in Shreveport, LA

Aya Mouhaffel, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Dr. James Williams, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Mary Pl, Shreveport, LA 71101 Phone: 318-681-4440
Maurice Hawley, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 972-664-6963 Fax: 770-237-4731
Hiram Vazquez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3217 Mabel St, Shreveport, LA 71103 Phone: 318-631-9121 Fax: 318-631-9126
Azem Chami, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Cleveland S Waterman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5581
Dr. Akmal A Mikhail I, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411

Kenneth J Ulicny, MD - Medicare Anesthesiology in Shreveport, LA