Dr Lisa A Licare, DO - Medicare Obstetrics/gynecology in New London, CT

Dr Lisa A Licare, DO is a medicare enrolled "Obstetrics & Gynecology" physician in New London, Connecticut. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2010 and has 14 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Northeast Medical Group Inc, Northeast Medical Group Inc and her current practice location is 194 Howard St, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 444-3366.

Dr Lisa A Licare is licensed to practice in Connecticut (license number 54140) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821300807.

Contact Information

Dr Lisa A Licare, DO
194 Howard St,
New London, CT 06320-5544
(860) 444-3366
Not Available



Physician's Profile

Full NameDr Lisa A Licare
GenderFemale
SpecialityObstetrics/gynecology
Experience14 Years
Location194 Howard St, New London, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lisa A Licare attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2010
  NPI Data:
  • NPI Number: 1821300807
  • Provider Enumeration Date: 07/07/2010
  • Last Update Date: 07/14/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3072828029
  • Enrollment ID: I20150819008805

Medical Identifiers

Medical identifiers for Dr Lisa A Licare such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821300807NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 54140 (Connecticut)Primary
207V00000XObstetrics & Gynecology DO00810 (Rhode Island)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lawrence & Memorial HospitalNew london, CTHospital
Westerly HospitalWesterly, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Medical Group Inc12542338361251
Northeast Medical Group Inc12542338361251

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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. Dr Lisa A Licare allows following entities to bill medicare on her behalf.
Entity NameNortheast Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522

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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. Dr Lisa A Licare 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
Dr Lisa A Licare, DO
194 Howard St,
New London, CT 06320-5544

Ph: (860) 444-3366
Dr Lisa A Licare, DO
194 Howard St,
New London, CT 06320-5544

Ph: (860) 444-3366

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Obstetrics & Gynecology Doctors in New London, CT

Francis Mayeda, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4 Shaws Cv, New London, CT 06320
Phone: 860-447-2935    Fax: 860-447-2935
Dr. Jeffrey A Simpson, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 345 Montauk Ave, New London, CT 06320
Phone: 860-444-6868    Fax: 860-437-0650
Mrs. Patricia P Martini, APRN
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 345 Montauk Ave, New London, CT 06320
Phone: 860-444-6868    Fax: 860-437-0650
Timothy M Barczak, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 345 Montauk Ave, New London, CT 06320
Phone: 860-444-6711    Fax: 860-437-0650
Jonathan L Levine, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4 Shaws Cv, New London, CT 06320
Phone: 860-447-2935    Fax: 860-447-2935
Dr. Edward J Watson, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 471 Montauk Ave, New London, CT 06320
Phone: 860-443-4148    Fax: 860-442-3805
Dr. Henry Steven Amdur, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 425 Montauk Ave, New London, CT 06320
Phone: 860-442-0383    Fax: 860-442-7266

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