Dr Albert Simon Licup, OD in Oak Park, IL - Medicare Optometrist Provider

Dr Albert Simon Licup, OD is a medicare enrolled "Optometrist" provider in Oak Park, Illinois. His current practice location is 603 Madison St, Oak Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 383-2150.

Dr Albert Simon Licup is licensed to practice in Illinois (license number 046.009863) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720011125.

Contact Information

	Dr Albert Simon Licup, OD
	603 Madison St, Oak Park, IL 60302-4437
	(708) 383-2150
	(708) 383-2253

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Albert Simon Licup
Gender	Male
Speciality	Optometrist
Location	603 Madison St, Oak Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720011125
Provider Enumeration Date: 07/09/2006
Last Update Date: 05/28/2009

Medicare PECOS Information:

PECOS PAC ID: 5092872911
Enrollment ID: I20090320000283

Medical Identifiers

Medical identifiers for Dr Albert Simon Licup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720011125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	046.009863 (Illinois)	Primary
152W00000X	Optometrist	3056-035 (Wisconsin)	Secondary

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. Dr Albert Simon Licup allows following entities to bill medicare on his behalf.

Provider Name	Zeifert Eye Care Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1437513041 PECOS PAC ID: 1456650092 Enrollment ID: O20160503000403

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. Dr Albert Simon Licup 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
Dr Albert Simon Licup, OD 603 Madison St, Oak Park, IL 60302-4437 Ph: (708) 383-2150	Dr Albert Simon Licup, OD 603 Madison St, Oak Park, IL 60302-4437 Ph: (708) 383-2150

Reviews and Comments

Optometrist in Oak Park, IL

Dr. Ramsey Tanakatsubo, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7011 W North Ave, Oak Park, IL 60302 Phone: 708-848-3900 Fax: 708-848-3997
Mr. Barry Steven Blattberg, OD Optometrist Medicare: Medicare Enrolled Practice Location: 10005 N Harlem Ave, Apt E, Oak Park, IL 60302 Phone: 708-785-6929
Ms. Ana Milena Sury, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 835 S Ridgeland Ave, Oak Park, IL 60304 Phone: 708-660-1252 Fax: 708-660-0377
Dr. Michael James Bowker, OD Optometrist Medicare: Medicare Enrolled Practice Location: 122 N Oak Park Ave, Oak Park, IL 60301 Phone: 708-524-2020 Fax: 708-524-2022
Drs Jessen Wesley And Assoc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7011 North Ave, Oak Park, IL 60302 Phone: 708-848-3900 Fax: 708-848-3997
Rosin Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 131 N Marion St, Oak Park, IL 60301 Phone: 708-383-7240 Fax: 708-383-7240
Eyes Rite Ltd. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 821 Garfield St, Oak Park, IL 60304 Phone: 708-386-1554 Fax: 708-383-4175

Dr Albert Simon Licup, OD - Medicare Optometrist in Oak Park, IL