Andrew Lichliter, MD - Medicare Diagnostic Radiology in Dallas, TX

Andrew Lichliter, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Dallas, Texas. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Middle Tennessee Imaging Llc, Clarksville Imaging Center Llc, Adi Radiology Pc and his current practice location is 3500 Gaston Ave, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 820-7272.

Andrew Lichliter is licensed to practice in Tennessee (license number 61720) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124447107.

Contact Information

Andrew Lichliter, MD
3500 Gaston Ave,
Dallas, TX 75246-2017
(214) 820-7272
Not Available



Physician's Profile

Full NameAndrew Lichliter
GenderMale
SpecialityDiagnostic Radiology
Experience10 Years
Location3500 Gaston Ave, Dallas, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andrew Lichliter graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1124447107
  • Provider Enumeration Date: 04/07/2014
  • Last Update Date: 03/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0941521561
  • Enrollment ID: I20201202002170

Medical Identifiers

Medical identifiers for Andrew Lichliter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124447107NPI-NPPES
363303401MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology Q8099 (Texas)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 61720 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Thomas West HospitalNashville, TNHospital
Williamson Medical CenterFranklin, TNHospital
Saint Thomas River Park HospitalMc minnville, TNHospital
Northcrest Medical CenterSpringfield, TNHospital
Stones River HospitalWoodbury, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Middle Tennessee Imaging Llc569874370661
Clarksville Imaging Center Llc670984252926
Adi Radiology Pc791123642767

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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. Andrew Lichliter allows following entities to bill medicare on his behalf.
Entity NameNol Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003910688
PECOS PAC ID: 5890608186
Enrollment ID: O20031112000227

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Entity NameClarksville Imaging Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043285539
PECOS PAC ID: 6709842529
Enrollment ID: O20041203000396

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Entity NameMiddle Tennessee Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770667289
PECOS PAC ID: 5698743706
Enrollment ID: O20110407000702

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Entity NameWisconsin Radiology Specialists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568446003
PECOS PAC ID: 2961314091
Enrollment ID: O20190403002179

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Entity NameAdi Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083266761
PECOS PAC ID: 7911236427
Enrollment ID: O20190909003468

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Entity NamePremier Radiology Wisconsin Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952951154
PECOS PAC ID: 9537595533
Enrollment ID: O20200312001588

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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. Andrew Lichliter 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 AddressPractice Location Address
Andrew Lichliter, MD
3500 Gaston Ave,
Dallas, TX 75246-2017

Ph: () -
Andrew Lichliter, MD
3500 Gaston Ave,
Dallas, TX 75246-2017

Ph: (214) 820-7272

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Radiology Doctors in Dallas, TX

Dr. Nhat-long Lam Pham, M.D., PH.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5801 Forest Park Rd, Dallas, TX 75390
Phone: 241-645-7615    Fax: 214-645-7624
Firouzeh Arjmandi, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd., Dallas, TX 75390
Phone: 214-645-3586    
Dr. John Debevits Iv, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-648-3928    
Natalia Cabrera Almonte, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 5323 Harry Hines Blvd # E6112, Dallas, TX 75390
Phone: 214-648-2054    
W Crysup Sory, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 12700 Park Central Dr, Ste 430, Dallas, TX 75251
Phone: 972-239-8902    Fax: 972-661-2551
Jacqueline Tyra Caire, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390
Phone: 469-757-1000    
Dr. Thomas Louis Borok, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 5004 Spyglass Drive, Dallas, TX 75287
Phone: 972-931-1073    Fax: 972-931-1073

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