Emma Concepcion Ico Jose, in Orland Park, IL - Medicare Nurse Practitioner

Emma Concepcion Ico Jose, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Orland Park, Illinois. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Alw Group Grow, Sudhir M Gokhale Md Sc and her current practice location is 9410 Albany Ct, Orland Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 954-0334.

Emma Concepcion Ico Jose is licensed to practice in Illinois (license number 209028504) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073374807.

Contact Information

	Emma Concepcion Ico Jose,
	9410 Albany Ct, Orland Park, IL 60467-5634
	(773) 954-0334
	Not Available

Map and Direction

Provider's Profile

Full Name	Emma Concepcion Ico Jose
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	9410 Albany Ct, Orland Park, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Emma Concepcion Ico Jose graduated from nursing school in 2023

NPI Data:

NPI Number: 1073374807
Provider Enumeration Date: 01/18/2024
Last Update Date: 01/18/2024

Medicare PECOS Information:

PECOS PAC ID: 3577096056
Enrollment ID: I20241023002645

Medical Identifiers

Medical identifiers for Emma Concepcion Ico Jose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073374807	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209028504 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Alw Group Grow	3971910530	13
Sudhir M Gokhale Md Sc	7517923246	14

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. Emma Concepcion Ico Jose allows following entities to bill medicare on her behalf.

Entity Name	Sudhir M Gokhale Md Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003961343 PECOS PAC ID: 7517923246 Enrollment ID: O20041206000029

Entity Name	Alw Group Grow
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023665999 PECOS PAC ID: 3971910530 Enrollment ID: O20210325002583

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. Emma Concepcion Ico Jose 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
Emma Concepcion Ico Jose, 9410 Albany Ct, Orland Park, IL 60467-5634 Ph: (773) 954-0334	Emma Concepcion Ico Jose, 9410 Albany Ct, Orland Park, IL 60467-5634 Ph: (773) 954-0334

Reviews and Comments

Nurse Practitioner Nurses in Orland Park, IL

Rachel Hesse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14290 S La Grange Rd, Orland Park, IL 60462 Phone: 866-389-2727
Tasheia Lashay Williams, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15303 S 94th Ave., Suite 250, Orland Park, IL 60462 Phone: 630-428-7890
Kay Budick, R.N., C.N.S. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14400 John Humphrey Dr, Suite 200, Orland Park, IL 60462 Phone: 708-675-1305 Fax: 708-226-1657
Ms. Samantha R Piazzolla, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15300 West Ave Ste 100a, Orland Park, IL 60462 Phone: 708-226-2318 Fax: 708-226-2319
Gail Scruggs Lauryn, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10745 165th St, Orland Park, IL 60467 Phone: 708-799-8384 Fax: 708-799-1305
Stella Benya, AGPCNP-BC, RN-BSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11528 183rd St, Orland Park, IL 60467 Phone: 919-349-3467
Amanda Erdmann, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14290 S La Grange Rd, Orland Park, IL 60462 Phone: 708-403-2356

Emma Concepcion Ico Jose, - Medicare Nurse Practitioner in Orland Park, IL