Edward Earl Icaza, MD in San Angelo, TX

Edward Earl Icaza, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in San Angelo, Texas. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Shannon Clinic and his current practice location is 102 N Magdalen St, San Angelo, Texas. You can reach out to his office (for appointments etc.) via phone at (325) 481-2193.

Edward Earl Icaza is licensed to practice in Texas (license number K9809) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134121940.

Contact Information

	Edward Earl Icaza, MD
	102 N Magdalen St, San Angelo, TX 76903-5400
	(325) 481-2193
	Not Available

Map and Direction

Physician's Profile

Full Name	Edward Earl Icaza
Gender	Male
Speciality	Neurology
Experience	28 Years
Location	102 N Magdalen St, San Angelo, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Edward Earl Icaza graduated from medical school in 1996

NPI Data:

NPI Number: 1134121940
Provider Enumeration Date: 08/11/2005
Last Update Date: 08/11/2023

Medicare PECOS Information:

PECOS PAC ID: 8325058126
Enrollment ID: I20111114000357

Medical Identifiers

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

Identifier	Type	State	Issuer
1134121940	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	26567 (Oklahoma)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	K9809 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Shannon Medical Center	San angelo, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shannon Clinic	0840103727	412

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. Edward Earl Icaza allows following entities to bill medicare on his behalf.

Entity Name	Shannon Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702

Entity Name	Edward E Icaza Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033295142 PECOS PAC ID: 2163432964 Enrollment ID: O20060424000511

Entity Name	Bhs Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598958431 PECOS PAC ID: 7315019593 Enrollment ID: O20080703000069

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. Edward Earl 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
Edward Earl Icaza, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511	Edward Earl Icaza, MD 102 N Magdalen St, San Angelo, TX 76903-5400 Ph: (325) 481-2193

Reviews and Comments

Psychiatry & Neurology Doctors in San Angelo, TX

Dr. John Haskel Snuggs, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 421 W Concho Ave, San Angelo, TX 76903 Phone: 325-224-4900 Fax: 325-224-4949
John Dale Crowley, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1636 Hunters Glen Rd, San Angelo, TX 76901 Phone: 325-949-5722 Fax: 325-947-2054
Dr. Ralph Gail Hodges, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1636 Hunters Glen Rd, San Angelo, TX 76901 Phone: 325-949-5722 Fax: 325-942-1482
Dr. Raymond C Mays, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1636 Hunters Glen Rd, San Angelo, TX 76901 Phone: 325-949-5722 Fax: 325-949-0003
Allister Kelly Morris Jr., MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 904 W Avenue D Apt D, San Angelo, TX 76903 Phone: 325-234-8000
Dr. Rebecca Crenshaw, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3555 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-949-9555

Edward Earl Icaza, MD - Medicare Neurology in San Angelo, TX