Amanda N Delacruz, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Fort Lauderdale, Florida. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Dr Stanley And Pearl Goodman Jfs Of Broward County Inc and her current practice location is
2900 W Prospect Rd, Fort Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 731-1000.
Amanda N Delacruz is licensed to practice in Florida (license number SW19642) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053041764.
Healthcare Provider's Profile
| Full Name | Amanda N Delacruz |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 2900 W Prospect Rd, Fort Lauderdale, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amanda N Delacruz graduated from medical school in 2018
NPI Data:
- NPI Number: 1053041764
- Provider Enumeration Date: 06/15/2022
- Last Update Date: 06/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214318492
- Enrollment ID: I20220719002929
Medical Identifiers
Medical identifiers for Amanda N Delacruz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053041764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | SW19642 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | SW19642 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dr Stanley And Pearl Goodman Jfs Of Broward County Inc | 1850352618 | 4 |
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 N Delacruz allows following entities to bill medicare on her behalf.
| Entity Name | Dr Stanley And Pearl Goodman Jfs Of Broward County Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760463236
PECOS PAC ID: 1850352618
Enrollment ID: O20041025000675 |
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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 N Delacruz 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 |
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Amanda N Delacruz, LCSW
4740 N State Road 7,
Lauderdale Lakes, FL 33319-5839
Ph: () - | Amanda N Delacruz, LCSW
2900 W Prospect Rd,
Fort Lauderdale, FL 33309-2519
Ph: (954) 731-1000 |
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