Amanda Rose Ico, OD in Woodridge, IL - Medicare Optometrist Provider

Amanda Rose Ico, OD is a medicare enrolled "Optometrist" provider in Woodridge, Illinois. Her current practice location is 6440 Main St Ste 100, Woodridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 232-7800.

Amanda Rose Ico is licensed to practice in Texas (license number 10423T) 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 1558031666.

Contact Information

	Amanda Rose Ico, OD
	6440 Main St Ste 100, Woodridge, IL 60517-1753
	(630) 232-7800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Rose Ico
Gender	Female
Speciality	Optometrist
Location	6440 Main St Ste 100, Woodridge, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558031666
Provider Enumeration Date: 09/20/2021
Last Update Date: 07/02/2024

Medicare PECOS Information:

PECOS PAC ID: 1658814439
Enrollment ID: I20240621000211

Medical Identifiers

Medical identifiers for Amanda Rose Ico such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558031666	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	10423T (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. Amanda Rose Ico allows following entities to bill medicare on her behalf.

Provider Name	Seven Bridges Eye Care Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124348917 PECOS PAC ID: 6901214709 Enrollment ID: O20210415001889

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. Amanda Rose Ico 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
Amanda Rose Ico, OD 368 Glenwood Dr Apt 304, Bloomingdale, IL 60108-3263 Ph: (630) 632-1208	Amanda Rose Ico, OD 6440 Main St Ste 100, Woodridge, IL 60517-1753 Ph: (630) 232-7800

Reviews and Comments

Optometrist in Woodridge, IL

Mint Vision Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2305 63rd St, Woodridge, IL 60517 Phone: 773-332-0007
Ms. Ann Sonia Kalladanthyil, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2017 75th St, Woodridge, IL 60517 Phone: 630-427-1000 Fax: 630-427-1181
Direct Healthcare Solutions Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1520 Fringetree Ln, Woodridge, IL 60517 Phone: 708-275-6192
Wow Vision Pc Optometrist Medicare: Medicare Enrolled Practice Location: 7451 Woodward Ave, Suite 101, Woodridge, IL 60517 Phone: 630-663-9112 Fax: 630-663-9228
Optometrist Medicare: Medicare Enrolled Practice Location: 6440 Main St, Suite 100, Woodridge, IL 60517 Phone: 630-824-0101 Fax: 630-824-0105
Nicole Freeman Margason, OD Optometrist Medicare: Medicare Enrolled Practice Location: 6440 Main St Ste 100, Woodridge, IL 60517 Phone: 630-824-0101
Leo J Prentice, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 7451 Woodward Ave, Suite 101, Woodridge, IL 60517 Phone: 630-663-9112 Fax: 630-663-9228

Amanda Rose Ico, OD - Medicare Optometrist in Woodridge, IL