Elisa Rosario Icaza, ARNP - Medicare Nurse Practitioner in St. Petersburg, FL

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Elisa Rosario Icaza, ARNP is a medicare enrolled "Nurse Practitioner - Primary Care" in St. Petersburg, Florida. Her current practice location is 1700 66th St. N., Suite 510, St. Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 384-2479.

Elisa Rosario Icaza is licensed to practice in Florida (license number APRN1701762) 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 1194770271.

Contact Information

Elisa Rosario Icaza, ARNP
1700 66th St. N., Suite 510,
St. Petersburg, FL 33710-5512
(727) 384-2479
(727) 384-3573

Map and Direction




Provider's Profile

Full NameElisa Rosario Icaza
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location1700 66th St. N., St. Petersburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194770271
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 10/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6406804673
  • Enrollment ID: I20050105000390

Medical Identifiers

Medical identifiers for Elisa Rosario Icaza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194770271NPI-NPPES
304992200MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care APRN1701762 (Florida)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. Elisa Rosario Icaza allows following entities to bill medicare on her behalf.
Entity NameAdvanced Bay Area Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700965050
PECOS PAC ID: 6901708205
Enrollment ID: O20040127000001

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. Elisa Rosario 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 AddressPractice Location Address
Elisa Rosario Icaza, ARNP
1700 66th St. N., Suite 510,
St. Petersburg, FL 33710-5512

Ph: (727) 384-2479		Elisa Rosario Icaza, ARNP
1700 66th St. N., Suite 510,
St. Petersburg, FL 33710-5512

Ph: (727) 384-2479

Reviews and Comments


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Medicare: Accepting Medicare Assignments
Practice Location: 1839 Central Ave., St. Petersburg, FL 33713
Phone: 727-322-1054    Fax: 727-821-7213

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.