Dr. Amy Kathleen Licis is a Saint Louis, Missouri based neurologist with 20 years of experience in Neurology. She completed her graduation from Washington University School Of Medicine in 2004. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Amy Kathleen Licis is 2009014878 for Neurology in Missouri. Her current practice location is 1600 S Brentwood Blvd, Div Neurology Sleep Med, Ste 600, Saint Louis. Patients can reach her at 314-362-1408 or can fax her at 314-747-4342. Dr. Amy Kathleen Licis is MD in Neurology and her NPI number (Unique professional ID assigned by NPPES) is 1992914352. Dr. Amy Kathleen Licis specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Dr. Amy Kathleen Licis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Amy Kathleen Licis
Specialization:
Neurology
Gender:
Female
Credentials:
MD
Experience:
20+ years
Medical School Attended:
Washington University School Of Medicine
Graduation Year:
2004
Accepts Medicare Assignment:
Yes
Practice Address:
1600 S Brentwood Blvd, Div Neurology Sleep Med, Ste 600, Saint Louis, Missouri, 63144-1320
Phone:
314-362-1408
Fax:
314-747-4342
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:
4284812132
Enrollment ID:
I20110624000393
NPI Number:
1992914352
NPI Enumeration Date:
22 May, 2007
NPI Last Update On:
25 Apr, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Amy Kathleen Licis are as mentioned below.
License Number
Specialization
State
Status
2009014878
Neurology
Missouri
Primary
2009014878
Pediatrics
Missouri
Secondary
2009014878
Child Neurology
Missouri
Secondary
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 Dr. Amy Kathleen Licis is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Washington University (9830008770)
2368
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Amy Kathleen Licis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
204515803
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Amy Kathleen Licis Po Box 60352, Saint Louis, Missouri
Zip:
63160-0352
Phone Number:
314-362-1408
Fax Number:
314-747-4342
Patients can reach Dr. Amy Kathleen Licis at 1600 S Brentwood Blvd, Div Neurology Sleep Med, Ste 600, Saint Louis, Missouri or can call to book an appointment on 314-362-1408.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.