Dr John Ichishita, OD is a medicare enrolled "Optometrist" provider in Mundelein, Illinois. He went to Illinois College Of Optometry At Chicago and graduated in 2013 and has 11 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Accuvision Center Inc and his current practice location is
824 N Il Route 83, Mundelein, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 362-2020.
Dr John Ichishita is licensed to practice in Illinois (license number 046.010675) 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 1164854386.
Healthcare Provider's Profile
| Full Name | Dr John Ichishita |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 11 Years |
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| Location | 824 N Il Route 83, Mundelein, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr John Ichishita attended and graduated from Illinois College Of Optometry At Chicago in 2013
NPI Data:
- NPI Number: 1164854386
- Provider Enumeration Date: 07/30/2013
- Last Update Date: 06/15/2015
Medicare PECOS Information:
- PECOS PAC ID: 0749584894
- Enrollment ID: I20160210000589
Medical Identifiers
Medical identifiers for Dr John Ichishita such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164854386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 046.010675 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Accuvision Center Inc | 3870567936 | 2 |
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 John Ichishita allows following entities to bill medicare on his behalf.
| Provider Name | Accuvision Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1477676914
PECOS PAC ID: 3870567936
Enrollment ID: O20040824000714 |
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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 John Ichishita 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 |
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Dr John Ichishita, OD
824 N Il Route 83,
Mundelein, IL 60060-9159
Ph: (847) 362-2020 | Dr John Ichishita, OD
824 N Il Route 83,
Mundelein, IL 60060-9159
Ph: (847) 362-2020 |
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