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LUIZA LICA
NPI 1578113593
Physician Assistant in Canton, MI

Active since September 12, 2019PECOS Enrolled
246 PRINCESS DR, CANTON, MI 48188(734) 629-7876 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Luiza Lica NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUIZA LICA (NPI 1578113593) is an individual physician assistant in Canton, Michigan and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578113593
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLUIZA LICA
Location Address246 PRINCESS DRCanton, MI 48188-1142
Mailing Address246 Princess DrCanton, MI 48188-1142
Phone(734) 629-7876
Sole ProprietorNo
Enumeration DateSeptember 12, 2019
✔ NPI 1578113593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
246 PRINCESS DR, Canton, MI 48188
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luiza Lica is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luiza Lica's NPI number?

The NPI number for Luiza Lica is 1578113593. It was assigned to this individual provider in the NPPES registry on September 12, 2019.

Where is Luiza Lica located?

Luiza Lica practices at 246 Princess Dr, Canton, MI 48188. The listed phone number is (734) 629-7876.

What is Luiza Lica's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Luiza Lica enrolled in Medicare?

Yes. Luiza Lica is registered in the Medicare PECOS enrollment system.

What insurance does Luiza Lica accept?

Health plans from McLaren Health Plan Community, Priority Health, Providence Health Plan and UnitedHealthcare list Luiza Lica as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Luiza Lica was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.