Dr Ross Usa Icyda, DMD in Boston, MA - Medicare Oral Surgery Provider

Dr Ross Usa Icyda, DMD is a medicare enrolled "Dentist" provider in Boston, Massachusetts. He went to Tufts University School Of Dental Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Massachusetts General Physicians Organization Inc and his current practice location is 165 Cambridge St, Suite 401, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 726-1076.

Dr Ross Usa Icyda is licensed to practice in Massachusetts (license number DN1856767) 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 1205179421.

Contact Information

	Dr Ross Usa Icyda, DMD
	165 Cambridge St, Suite 401, Boston, MA 02114-2783
	(617) 726-1076
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ross Usa Icyda
Gender	Male
Speciality	Oral Surgery
Experience	13 Years
Location	165 Cambridge St, Boston, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ross Usa Icyda attended and graduated from Tufts University School Of Dental Medicine in 2011

NPI Data:

NPI Number: 1205179421
Provider Enumeration Date: 04/05/2013
Last Update Date: 08/19/2016

Medicare PECOS Information:

PECOS PAC ID: 1153618269
Enrollment ID: I20220207001424

Medical Identifiers

Medical identifiers for Dr Ross Usa Icyda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205179421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D9790 (Oregon)	Secondary
122300000X	Dentist	DN 19965 (Florida)	Secondary
122300000X	Dentist	DN1856767 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Massachusetts General Hospital	Boston, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Massachusetts General Physicians Organization Inc	2466365820	3084

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 Ross Usa Icyda allows following entities to bill medicare on his behalf.

Entity Name	Massachusetts General Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434

Entity Name	The General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351

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 Ross Usa Icyda 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 Ross Usa Icyda, DMD 165 Cambridge St, Ste 401, Boston, MA 02114-2750 Ph: (617) 335-8646	Dr Ross Usa Icyda, DMD 165 Cambridge St, Suite 401, Boston, MA 02114-2783 Ph: (617) 726-1076

Reviews and Comments

Dentist in Boston, MA

Dr. Rocio Saavedra, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Kneeland St, Boston, MA 02111 Phone: 617-636-6971
Richard Niederman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 140 Fenway, Boston, MA 02115 Phone: 617-892-8374 Fax: 617-262-4021
Armida Dano, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Tremont St, Boston, MA 02118 Phone: 617-424-0606
Daimery Heinstein, Dentist Medicare: Medicare Enrolled Practice Location: 274 Newbury St, Boston, MA 02116 Phone: 617-262-0106
Dr. Jeffrey Brian Reardon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave # Hu226, Boston, MA 02115 Phone: 617-355-4426
Jacob Fortenberry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Albany St, Boston, MA 02118 Phone: 601-278-0923
Dr. Richard Rothstein, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 274 Newbury St, Boston, MA 02116 Phone: 617-262-0106

Dr Ross Usa Icyda, DMD - Medicare Dentist in Boston, MA