Andrea Icaza, in Daly City, CA - Medicare Audiologist Provider

Andrea Icaza, is a medicare enrolled "Audiologist" provider in Daly City, California. Her current practice location is 15 Southgate Ave Fl 2, Daly City, California. You can reach out to her office (for appointments etc.) via phone at (650) 758-5363.

Andrea Icaza is licensed to practice in California (license number 3634) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922775709.

Contact Information

	Andrea Icaza,
	15 Southgate Ave Fl 2, Daly City, CA 94015-1413
	(650) 758-5363
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andrea Icaza
Gender	Female
Speciality	Audiologist
Location	15 Southgate Ave Fl 2, Daly City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922775709
Provider Enumeration Date: 08/27/2021
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 4385166297
Enrollment ID: I20250320001758

Medical Identifiers

Medical identifiers for Andrea Icaza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922775709	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	3634 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrea Icaza allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea Icaza is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Andrea Icaza, 15 Southgate Ave Fl 2, Daly City, CA 94015-1413 Ph: (650) 758-5363	Andrea Icaza, 15 Southgate Ave Fl 2, Daly City, CA 94015-1413 Ph: (650) 758-5363

Reviews and Comments

Audiologist in Daly City, CA

Dr. Helen Simon, PH.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 15 Southgate Ave, Suite 210, Daly City, CA 94015 Phone: 650-758-5363 Fax: 650-758-5377
Melissa Nicole Gawne, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 15 Southgate Ave Ste 210, Daly City, CA 94015 Phone: 650-758-5363
Dr. Christina Lynne Scott, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 901 Campus Dr Ste 302, Daly City, CA 94015 Phone: 415-353-2101
Dr. Ella Stimson, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 15 Southgate Ave Ste 210, Daly City, CA 94015 Phone: 650-758-5363
Marya Susan Kimple, MS Audiologist Medicare: Medicare Enrolled Practice Location: 15 Southgate Ave, Ste 210, Daly City, CA 94015 Phone: 650-758-5363
Dr. Matthew Villaruz Pascua, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 15 Southgate Ave Ste 210, Daly City, CA 94015 Phone: 650-758-5363

Andrea Icaza, - Medicare Audiologist in Daly City, CA