Anceslo Idicula, MD in Lubbock, TX

Anceslo Idicula, MD is a medicare enrolled "Surgery - Surgery Of The Hand" physician in Lubbock, Texas. His current practice location is 3601 4th St # Ms 8312, Lubbock, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 743-2373.

Anceslo Idicula is licensed to practice in Texas (license number U5988) 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 1528446572.

Contact Information

	Anceslo Idicula, MD
	3601 4th St # Ms 8312, Lubbock, TX 79430-0002
	(806) 743-2373
	(806) 743-4354

Map and Direction

Physician's Profile

Full Name	Anceslo Idicula
Gender	Male
Speciality	Surgery - Surgery Of The Hand
Location	3601 4th St # Ms 8312, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528446572
Provider Enumeration Date: 05/11/2015
Last Update Date: 09/08/2023

Medicare PECOS Information:

PECOS PAC ID: 9638477839
Enrollment ID: I20230908001708

Medical Identifiers

Medical identifiers for Anceslo Idicula such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528446572	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	BP10052704 (Texas)	Secondary
2086S0105X	Surgery - Surgery Of The Hand	U5988 (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. Anceslo Idicula allows following entities to bill medicare on his behalf.

Entity Name	Texas Tech University Health Sciences Center Lubbock
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468

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. Anceslo Idicula 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
Anceslo Idicula, MD 3601 4th St # Ms 8312, Lubbock, TX 79430-0002 Ph: (806) 743-2373	Anceslo Idicula, MD 3601 4th St # Ms 8312, Lubbock, TX 79430-0002 Ph: (806) 743-2373

Reviews and Comments

Surgery Doctors in Lubbock, TX

Tabitha Threatt, MD Surgery Medicare: Medicare Enrolled Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-743-2373 Fax: 806-743-4354
Ted W Allen, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3611 22nd Pl, Lubbock, TX 79410 Phone: 806-799-7928 Fax: 806-788-8560
Sammy Anthony Deeb, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3509 22nd St, Lubbock, TX 79410 Phone: 806-799-7928 Fax: 806-788-8500
Monja L Proctor, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4102 22nd Pl, Lubbock, TX 79410 Phone: 806-725-0237 Fax: 806-725-1030
Dr. Brittany Kay Bankhead, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2373 Fax: 806-743-4354
Adam Purtell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3611 22nd Pl, Lubbock, TX 79410 Phone: 806-799-7928 Fax: 806-788-8560
Dr. Gerald Lynn Woolam, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3611 22nd Pl, Lubbock, TX 79410 Phone: 806-771-2222 Fax: 806-771-2224

Anceslo Idicula, MD - Medicare Surgery in Lubbock, TX