Ms Victoria Icho, MS, LMFT ASSOCIATE in Fort Worth, TX - Medicare Marriage & Family Therapist Provider

Ms Victoria Icho, MS, LMFT ASSOCIATE is a medicare enrolled "Marriage & Family Therapist" provider in Fort Worth, Texas. Her current practice location is 6551 Harris Pkwy Ste 240, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 735-4165.

Ms Victoria Icho is licensed to practice in Texas (license number 203547) 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 1982356291.

Contact Information

	Ms Victoria Icho, MS, LMFT ASSOCIATE
	6551 Harris Pkwy Ste 240, Fort Worth, TX 76132-6103
	(817) 735-4165
	(817) 735-4688

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Victoria Icho
Gender	Female
Speciality	Marriage & Family Therapist
Location	6551 Harris Pkwy Ste 240, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982356291
Provider Enumeration Date: 01/19/2022
Last Update Date: 01/03/2024

Medicare PECOS Information:

PECOS PAC ID: 3072959139
Enrollment ID: I20240311004077

Medical Identifiers

Medical identifiers for Ms Victoria Icho such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982356291	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	203547 (Texas)	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. Ms Victoria Icho allows following entities to bill medicare on her behalf.

Entity Name	Fair Winds Assessment And Counseling Center Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225544877 PECOS PAC ID: 9032569280 Enrollment ID: O20231229001675

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. Ms Victoria Icho 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
Ms Victoria Icho, MS, LMFT ASSOCIATE 6551 Harris Pkwy Ste 240, Fort Worth, TX 76132-6103 Ph: (817) 735-4165	Ms Victoria Icho, MS, LMFT ASSOCIATE 6551 Harris Pkwy Ste 240, Fort Worth, TX 76132-6103 Ph: (817) 735-4165

Reviews and Comments

Marriage & Family Therapist in Fort Worth, TX

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David W. Farmer, LPC, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-5051 Fax: 817-735-0651
Nicole Van Ness, PSYD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 604 Candlewood Rd, Fort Worth, TX 76103 Phone: 858-356-7444
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Ms Victoria Icho, MS, LMFT ASSOCIATE - Medicare Couples Therapy in Fort Worth, TX