MR. RUSTIN GERHARD LICHT
NPI 1619210549
Psychiatry & Neurology - Psychiatry in Iowa City, IA
About Mr. Rustin Gerhard Licht NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RUSTIN GERHARD LICHT (NPI 1619210549) is an individual psychiatry provider in Iowa City, Iowa, licensed in Iowa (MD-42568) and active in the NPI registry since March 2013. He has opted out of Medicare through September 29, 2027.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Rustin Gerhard Licht has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 29, 2021 through September 29, 2027.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IOWA CITY, IA 52242
IOWA CITY, IA 52242
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 Rustin Licht's NPI number?
The NPI number for Rustin Licht is 1619210549. It was assigned to this individual provider in the NPPES registry on March 28, 2013.
Where is Rustin Licht located?
Rustin Licht practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-1616.
What is Rustin Licht's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Rustin Licht enrolled in Medicare?
No. Rustin Licht has opted out of Medicare through September 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Rustin Licht accept?
Health plans from Medica and Providence Health Plan list Rustin Licht 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 Rustin Licht was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mr. Rustin Gerhard Licht · NPI 1619210549
Psychiatry physician in Iowa City, Iowa. Individual provider, active in the CMS NPPES registry since March 28, 2013.
## Identity
- **NPI:** 1619210549 (Entity type: Individual)
- **Enumerated:** March 28, 2013
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** MD-42568 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 HAWKINS DR, Iowa City, IA 52242-1009
- **Phone:** (319) 356-1616
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 29, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** March 29, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1619210549) · Data from the CMS NPPES public registry.