Edward E Icaza Md Pa - Medicare Mental Health Clinic in Katy, TX

Edward E Icaza Md Pa is a medicare enrolled mental health clinic (Psychiatry & Neurology - Neurology) in Katy, Texas. The current practice location for Edward E Icaza Md Pa is 23920 Katy Freeway, #405, Katy, Texas. For appointments, you can reach them via phone at (832) 437-8375. The mailing address for Edward E Icaza Md Pa is 23920 Katy Freeway, #405, Katy, Texas and phone number is (832) 437-8375.

Edward E Icaza Md Pa is licensed to practice in Texas (license number K9809). The clinic also participates in the medicare program and its NPI number is 1033295142. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (832) 437-8375.

Contact Information

Edward E Icaza Md Pa
23920 Katy Freeway
#405
Katy
TX 77494
(832) 437-8375
(832) 437-2813

Mental Health Clinic Profile

Full NameEdward E Icaza Md Pa
SpecialityPsychiatry & Neurology
Location23920 Katy Freeway, Katy, Texas
Authorized Official Name and PositionEdward E Icaza (OWNER)
Authorized Official Contact8324378375
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edward E Icaza Md Pa
23920 Katy Freeway
#405
Katy
TX 77494

Ph: (832) 437-8375
Edward E Icaza Md Pa
23920 Katy Freeway
#405
Katy
TX 77494

Ph: (832) 437-8375

NPI Details:

NPI Number1033295142
Provider Enumeration Date10/31/2006
Last Update Date04/04/2012

Medicare PECOS Information:

Medicare PECOS PAC ID2163432964
Medicare Enrollment IDO20060424000511

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Medical Identifiers

Medical identifiers for Edward E Icaza Md Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033295142NPI-NPPES
0072JAOtherTXBCBS
K9809OtherTXNEUROLOGIST

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology (* (Not Available))Secondary
2084N0400XPsychiatry & Neurology - Neurology K9809 (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. Edward E Icaza Md Pa acts as a billing entity for following providers:
Provider NameEdward Icaza
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1134121940
PECOS PAC ID: 8325058126
Enrollment ID: I20111114000357

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In this post in Huffington Post's "Impact" blog, Deborah Derrick, president of Friends of the Global Fight Against AIDS, Tuberculosis (TB) and Malaria, examines "the success of U.S. efforts to promote better global health through support for [PEPFAR] and the Global Fund to Fight AIDS, Tuberculosis and Malaria."

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Psychiatry & Neurology in Katy, TX

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Creative Therapeutic Space, Pllc
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Catalyst Behavior Solutions
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Practice Location: 21230 Kingsland Blvd Ste 100a, Katy, TX 77450
Phone: 605-271-2690    Fax: 605-271-3956

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