Malcolm James Lickers, in Henrico, VA - Medicare Physical Therapist Provider

Malcolm James Lickers, is a medicare enrolled "Physical Therapist - Sports" provider in Henrico, Virginia. His current practice location is 8191 Staples Mill Rd, Henrico, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 523-2653.

Malcolm James Lickers is licensed to practice in Virginia (license number 2305202376) 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 1255938098.

Contact Information

	Malcolm James Lickers,
	8191 Staples Mill Rd, Henrico, VA 23228-2751
	(804) 523-2653
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Malcolm James Lickers
Gender	Male
Speciality	Physical Therapist - Sports
Location	8191 Staples Mill Rd, Henrico, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255938098
Provider Enumeration Date: 10/05/2020
Last Update Date: 10/05/2020

Medicare PECOS Information:

PECOS PAC ID: 3072596832
Enrollment ID: I20040611000526

Medical Identifiers

Medical identifiers for Malcolm James Lickers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255938098	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251S0007X	Physical Therapist - Sports	2305202376 (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. Malcolm James Lickers allows following entities to bill medicare on his behalf.

Provider Name	Lawrence Rehabilitation Specialists Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1558444513 PECOS PAC ID: 8628172269 Enrollment ID: O20070409000412

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. Malcolm James Lickers 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
Malcolm James Lickers, 3307 Quail Hill Dr, Midlothian, VA 23112-4431 Ph: () -	Malcolm James Lickers, 8191 Staples Mill Rd, Henrico, VA 23228-2751 Ph: (804) 523-2653

Reviews and Comments

Physical Therapist in Henrico, VA

Nicole Marie Anderson, PT, DPT, NCS Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 8191 Staples Mill Rd, Henrico, VA 23228 Phone: 804-523-2653
Grant Silvestri, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3413 Cox Rd, Henrico, VA 23233 Phone: 804-729-4117 Fax: 804-729-4194
Bestinjohn Kanjiracal Jacob, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 2620a Gaskins Rd, Henrico, VA 23238 Phone: 804-396-6753 Fax: 888-815-8184
Kyle Ethan Shope, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3001 Hungary Spring Rd Ste D, Henrico, VA 23228 Phone: 804-756-8490
Bhargavi Nitant Patel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2620a Gaskins Rd, Henrico, VA 23238 Phone: 804-396-6753
Mrs. Neepaben C Patel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2620 A Gaskins Rd, Henrico, VA 23238 Phone: 804-396-6753
Dr. Emily Wright Wolfram, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8115 Staples Mill Rd, Henrico, VA 23228 Phone: 804-655-6327

Malcolm James Lickers, - Medicare Physical Therapist in Henrico, VA