Mark Licht MD has Urology as his primary medical specialty. Their primary office is: 825 Century Medical Dr in Titusville, Florida.
They're a part of the: North Brevard Medical Support Inc medical group which has around 84 members. You can call their office at 321-268-6834 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended University Of Rochester School Of Medicine And Dentistry and graduated in 1988 (around 36 years of experience). They are not listed as doing telehealth appointments, but this may have changed. It can't hurt to call and check. If anything it may encourage them to make them available if they are not currently.
Mark Licht MD
North Brevard Medical Support Inc
825 Century Medical Dr
Titusville, Florida 32796
321-268-6834
Phone: 321-268-6834
Enter a starting address:
Medical School: University Of Rochester School Of Medicine And Dentistry
Graduation Year: 1988
The Primary Medical Specialty for Mark Licht MD is listed as: Urology
Credentials: MD
Additional Credentials:
Approximate Years of Experience: 36
PAC (PECOS ID)#: 6800999293
NPI #: 1306841473
NPI Created On: 06/16/2005
NPI Last Updated Listed as: 04/20/2021
Primary Taxonomy Code: 174400000X
License Number:
ME68004
Listed Gender: Male
Forms of insurance accepted by include, but are not limited to:
They are listed as accepting new patients.
Languages spoken by staff include: English, Hungarian, Greek, Modern.
Services and Procedures include:
Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.
Payments Total: $22
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 792853097
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: HYPERHYDROSIS
Name of Drug #1: BOTOX
Open Associated Drug #1: 0023-1145-01
Payments Total: $24
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 792853099
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: HYPERHYDROSIS
Name of Drug #1: BOTOX
Open Associated Drug #1: 0023-1145-01
Payments Total: $12
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 792853101
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: HYPERHYDROSIS
Name of Drug #1: BOTOX
Open Associated Drug #1: 0023-1145-01
Payments Total: $15
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 826679427
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: UROTHELIAL CANCER
Name of Drug #1: JELMYTO
Open Associated Drug #1: 72493-103-03
Payments Total: $21
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 828696037
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: UROLOGY
Name of Drug #1: AVEED
Open Associated Drug #1: 67979-511-43
Drug or Biological: Biological
Product Category #2: UROLOGY
Name Of Drug #2:: XIAFLEX
Associated Drug #2: 66887-003-01
Drug or Biological #3:: Drug
Product Category #3: UROLOGY
Name of Drug: EDEX
Name Of Drug #3: 52244-010-02
Payments Total: $21
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 828696041
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: UROLOGY
Name of Drug #1: AVEED
Open Associated Drug #1: 67979-511-43
Drug or Biological: Biological
Product Category #2: UROLOGY
Name Of Drug #2:: XIAFLEX
Associated Drug #2: 66887-003-01
Drug or Biological #3:: Drug
Product Category #3: UROLOGY
Name of Drug: EDEX
Name Of Drug #3: 52244-010-02
Payments Total: $21
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 828696045
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: UROLOGY
Name of Drug #1: AVEED
Open Associated Drug #1: 67979-511-43
Drug or Biological: Biological
Product Category #2: UROLOGY
Name Of Drug #2:: XIAFLEX
Associated Drug #2: 66887-003-01
Drug or Biological #3:: Drug
Product Category #3: UROLOGY
Name of Drug: EDEX
Name Of Drug #3: 52244-010-02
Payments Total: $24
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 828696049
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: UROLOGY
Name of Drug #1: EDEX
Open Associated Drug #1: 52244-010-02
Drug or Biological: Drug
Product Category #2: UROLOGY
Name Of Drug #2:: XIAFLEX
Associated Drug #2: 66887-003-01
Drug or Biological #3:: Biological
Product Category #3: UROLOGY
Name of Drug: AVEED
Name Of Drug #3: 67979-511-43
Payments Total: $14
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 828696053
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: UROLOGY
Name of Drug #1: AVEED
Open Associated Drug #1: 67979-511-43
Drug or Biological: Biological
Product Category #2: UROLOGY
Name Of Drug #2:: EDEX
Associated Drug #2: 52244-010-02
Drug or Biological #3:: Biological
Product Category #3: UROLOGY
Name of Drug: XIAFLEX
Name Of Drug #3: 66887-003-01
Payments Total: $25
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 828696057
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: UROLOGY
Name of Drug #1: AVEED
Open Associated Drug #1: 67979-511-43
Drug or Biological: Biological
Product Category #2: UROLOGY
Name Of Drug #2:: XIAFLEX
Associated Drug #2: 66887-003-01
Drug or Biological #3:: Drug
Product Category #3: UROLOGY
Name of Drug: EDEX
Name Of Drug #3: 52244-010-02
951 N Washington Ave
Titusville, FL
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View all 84 members of North Brevard Medical Support Inc medical group