David J Licini is a Bloomington, Indiana based male orthopedic surgeon with 17 years of experience in Adult Reconstructive Orthopaedic Surgery. He completed his graduation from Indiana University School Of Medicine in 2007. He is also affiliated with hospitals like Indiana University Health Bloomington Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of David J Licini is 01071339A for Orthopedic Surgery in Indiana.
David J Licini deals with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Complete Profile:
David J Licini speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Adult Reconstructive Orthopaedic Surgery
Credentials:
MD
Experience:
17+ years
Medical School Attended:
Indiana University School Of Medicine
Graduation Year:
2007
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1302 S Rogers St, Bloomington, Indiana, 47403-4752
Phone:
812-333-2663
Fax:
812-676-4131
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2668607623
Enrollment ID:
I20131028001920
NPI Number:
1801086343
NPI Enumeration Date:
31 Jul, 2007
NPI Last Update On:
27 Oct, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David J Licini are as mentioned below.
License Number
Specialization
State
Status
01071339A
Orthopedic Surgery
Indiana
Primary
01071339A
Adult Reconstructive Orthopaedic Surgery
Indiana
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Indiana University Health Bloomington Hospital (150051)
Bloomington, IN
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which David J Licini is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Indiana University Health Southern Indiana Physicians Llc (6204748197)
380
Other Medical Identifiers:
Other legacy medical identifiers associated with David J Licini such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
201119230
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
250 N Shadeland Ave, Indianapolis, Indiana
Zip:
46219-4959
Phone Number:
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Fax Number:
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Patients can reach David J Licini at 1302 S Rogers St, Bloomington, Indiana or can call to book an appointment on 812-333-2663. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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