Ivelisse Colon Cruz, LCSW, LCDC is a medicare enrolled "Social Worker - Clinical" provider in Richmond, Texas. Her current practice location is
400 Austin St, Richmond, Texas. You can reach out to her office (for appointments etc.) via phone at
(281) 342-4530.
Ivelisse Colon Cruz is licensed to practice in Texas (license number 66489) 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 1215440441.
Healthcare Provider's Profile
| Full Name | Ivelisse Colon Cruz |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 400 Austin St, Richmond, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215440441
- Provider Enumeration Date: 11/09/2017
- Last Update Date: 07/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294264578
- Enrollment ID: I20250131000735
Medical Identifiers
Medical identifiers for Ivelisse Colon Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215440441 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16542 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 66489 (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. Ivelisse Colon Cruz allows following entities to bill medicare on her behalf.
| Entity Name | Fort Bend Family Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972601169
PECOS PAC ID: 7113999780
Enrollment ID: O20040812000965 |
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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. Ivelisse Colon 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 Address | Practice Location Address |
|---|
Ivelisse Colon Cruz, LCSW, LCDC
400 Austin St,
Richmond, TX 77469-4406
Ph: (281) 342-4530 | Ivelisse Colon Cruz, LCSW, LCDC
400 Austin St,
Richmond, TX 77469-4406
Ph: (281) 342-4530 |
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