Marilou Gegare Cruz, MD - Medicare Pediatrics in Downey, CA

Marilou Gegare Cruz, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Downey, California. Her current practice location is 9317 Firestone Blvd, Downey, California. You can reach out to her office (for appointments etc.) via phone at (562) 861-1245.

Marilou Gegare Cruz is licensed to practice in California (license number A44484) 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 1629160155.

Contact Information

Marilou Gegare Cruz, MD
9317 Firestone Blvd,
Downey, CA 90241-5322
(562) 861-1245
(562) 904-1299

Map and Direction




Physician's Profile

Full NameMarilou Gegare Cruz
GenderFemale
SpecialityPediatrics - Adolescent Medicine
Location9317 Firestone Blvd, Downey, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629160155
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 06/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3274769591
  • Enrollment ID: I20141104000688

Medical Identifiers

Medical identifiers for Marilou Gegare Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629160155NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine A44484 (California)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. Marilou Gegare Cruz allows following entities to bill medicare on her behalf.
Entity NameMarilou G Cruz Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619232808
PECOS PAC ID: 6305068537
Enrollment ID: O20141104000526

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. Marilou Gegare Cruz 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 AddressPractice Location Address
Marilou Gegare Cruz, MD
9317 Firestone Blvd,
Downey, CA 90241-5322

Ph: (562) 861-1245
Marilou Gegare Cruz, MD
9317 Firestone Blvd,
Downey, CA 90241-5322

Ph: (562) 861-1245

Reviews and Comments


Pediatrics Doctors in Downey, CA

Irene Gilgoff, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7601 Imperial Hwy, Downey, CA 90242
Phone: 562-803-0124    Fax: 562-803-5569
Ferdinand Jamil Shamiyeh, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 11525 Brookshire Ave Ste 302, Downey, CA 90241
Phone: 562-904-2821    Fax: 562-904-2826
Dr. Kim Chi Thanh Bui, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9333 Imperial Hwy, Downey, CA 90242
Phone: 562-657-7550    
Nicole Cervantes, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 8530 Firestone Blvd, Downey, CA 90241
Phone: 562-867-7999    
William Boelter, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7601 Imperial Hwy, Downey, CA 90242
Phone: 562-803-0124    Fax: 562-803-0124
Daniel Chong Lee, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9333 Imperial Hwy, Downey, CA 90242
Phone: 562-657-7550    
Danielle Ilana Schneider Williams, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9449 Imperial Hwy, Suite 307, Downey, CA 90242
Phone: 562-657-2751    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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