| Jason Michael Licht, PA-C | |
|
3000 New Bern Ave, Suite 1200, Raleigh, NC 27610-1231 | |
| (919) 231-6132 | |
| (919) 231-6276 |
| Full Name | Jason Michael Licht |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 3000 New Bern Ave, Raleigh, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073533410 | NPI | - | NPPES |
| 1073533410 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0010-00069 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0010-00069 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wakemed Specialists Group Llc | 2466788377 | 690 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Michael Licht, PA-C Po Box 603949, Charlotte, NC 28260-3949 Ph: (919) 350-0351 | Jason Michael Licht, PA-C 3000 New Bern Ave, Suite 1200, Raleigh, NC 27610-1231 Ph: (919) 231-6132 |
Mr. Ian Edwin Dick, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 900 E Six Forks Rd, #532, Raleigh, NC 27604 Phone: 614-783-4186 | |
Nader Emami-kelishadi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 703-585-0860 | |
Charlotte Rowe Spangler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609 Phone: 919-277-9841 | |
Mrs. Bailey Hardy Underhill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-8000 Fax: 919-350-7204 | |
Mrs. Emily Lauren Voynovich Parrella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13271 Stirckland Road Heritage Urgent And Primary Care, Raleigh, NC 27613 Phone: 910-941-4677 Fax: 910-741-6349 | |
Ms. Micaela Marie Hofer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-8000 | |
Darren Richard Kirk, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2605 Blue Ridge Rd Ste 300, Raleigh, NC 27607 Phone: 919-787-3448 |