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DR. JESSICA ANN LICHT D.D.S.
NPI 1669851002
Dentist in Bad Axe, MI

Active since May 19, 2015PECOS Enrolled
1080 S VAN DYKE RD STE A, BAD AXE, MI 48413(989) 623-0137(989) 921-4977 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jessica Ann Licht D.d.s. NPPES

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

DR. JESSICA ANN LICHT D.D.S. (NPI 1669851002) is an individual dentist in Bad Axe, Michigan, licensed in Michigan (2901021568) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669851002
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JESSICA ANN LICHTCredential: D.D.S.
Location Address1080 S VAN DYKE RD STE ABad Axe, MI 48413-9635
Mailing Address501 Lapeer AveSaginaw, MI 48607-1203 · (989) 759-6464 · Fax (989) 399-8233
Phone(989) 623-0137
Fax(989) 921-4977
Sole ProprietorNo
Enumeration DateMay 19, 2015
Last NPPES UpdateApril 9, 2021
NPPES CertifiedApril 9, 2021
✔ NPI 1669851002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901021568
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1080 S VAN DYKE RD STE A, Bad Axe, MI 48413
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Ann Licht D.d.s. 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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Licht reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Great Lakes Bay Health Centers
51 mi
Federally Qualified Health Center (FQHC)
501 LAPEER
Saginaw, MI 48607
  • Reassigned Medicare billing, Michigan enrollment
  • 229 clinicians in this Medicare group
NPI 1629171707 (989) 759-6464

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48413 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTEGRATED WELLNESS THERAPIES LLC
Social Worker (Clinical)
1080 S VAN DYKE RD STE A
BAD AXE, MI 48413
Huron County (989) 912-0258
REBECCA ANN MCKEE
Nurse Practitioner (Family)
1080 S VAN DYKE RD STE A
BAD AXE, MI 48413
Huron County (989) 493-9327

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 Jessica Licht's NPI number?

The NPI number for Jessica Licht is 1669851002. It was assigned to this individual provider in the NPPES registry on May 19, 2015.

Where is Jessica Licht located?

Jessica Licht practices at 1080 S Van Dyke Rd Ste A, Bad Axe, MI 48413. The listed phone number is (989) 623-0137.

What is Jessica Licht's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jessica Licht enrolled in Medicare?

Yes. Jessica Licht is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Licht's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Licht reassigns Medicare benefits to Great Lakes Bay Health Centers (Saginaw, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Licht's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Licht accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Michigan and 3 other insurers list Jessica 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 Jessica Licht was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.