Nathan Daniel Lickteig, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Seattle, Washington. His current practice location is
1959 Ne Pacific St, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at
(206) 543-1140.
Nathan Daniel Lickteig is licensed to practice in New Mexico (license number ) 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 1649912452.
Physician's Profile
| Full Name | Nathan Daniel Lickteig |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1959 Ne Pacific St, Seattle, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649912452
- Provider Enumeration Date: 04/12/2022
- Last Update Date: 06/18/2026
Medicare PECOS Information:
- PECOS PAC ID: 0749759165
- Enrollment ID: I20260514004336
Medical Identifiers
Medical identifiers for Nathan Daniel Lickteig such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649912452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZB0001X | Pathology - Blood Banking & Transfusion Medicine | DO.OP.70077130 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (New Mexico) | Primary |
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. Nathan Daniel Lickteig 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 |
Nathan Daniel Lickteig, DO Msc08 4640 1 University Of New Mexico, Albuquerque, NM 87131-0001 Ph: (505) 272-4814 | Nathan Daniel Lickteig, DO 1959 Ne Pacific St, Seattle, WA 98195-0001 Ph: (206) 543-1140 |
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