Icard, P.l.l.c. is a medicare enrolled "Psychologist - Clinical" provider in Spokane, Washington. Their current practice location is
701 W 7th Ave, Suite 130, Spokane, Washington. You can reach out to their office (for appointments etc.) via phone at
(509) 869-3809.
Icard, P.l.l.c. is licensed to practice in Washington (license number PY00002566) and it also participates in the medicare program. Icard, P.l.l.c.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1073655940.
Healthcare Provider's Profile
| Full Name | Icard, P.l.l.c. |
|---|
| Type | Facility |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 701 W 7th Ave, Spokane, Washington |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1073655940
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 06/12/2017
Medicare PECOS Information:
- PECOS PAC ID: 9436325982
- Enrollment ID: O20120104000491
Medical Identifiers
Medical identifiers for Icard, P.l.l.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073655940 | NPI | - | NPPES |
| 2077792 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | LL00004374 (Washington) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY00002566 (Washington) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Icard, P.l.l.c. acts as a billing entity for following providers:
| Provider Name | Elizabeth A Pechous |
|---|
| Provider Type | Practitioner - Clinical Psychologist |
|---|
| Provider Identifiers | NPI Number: 1265575088
PECOS PAC ID: 7517133069
Enrollment ID: I20120104000507 |
|---|
| Provider Name | Marie R Pechous |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1497898225
PECOS PAC ID: 8426224973
Enrollment ID: I20120104000512 |
|---|
| Provider Name | Elizabeth Deviveiros |
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| Provider Type | Practitioner - Mental Health Counselor |
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| Provider Identifiers | NPI Number: 1861799470
PECOS PAC ID: 3779926977
Enrollment ID: I20240205002339 |
|---|
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. Icard, P.l.l.c. 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 |
|---|
Icard, P.l.l.c.
701 W 7th Ave, Suite 130,
Spokane, WA 99204-2843
Ph: (509) 869-3809 | Icard, P.l.l.c.
701 W 7th Ave, Suite 130,
Spokane, WA 99204-2843
Ph: (509) 869-3809 |
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