Kristine Vincent Cruz Angeles, DMD in Sierra Vista, AZ

Kristine Vincent Cruz Angeles, DMD is a medicare enrolled "Dentist - General Practice" provider in Sierra Vista, Arizona. Her current practice location is 115 Calle Poral, Sierra Vista, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 459-3011.

Kristine Vincent Cruz Angeles is licensed to practice in Arizona (license number D010393) 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 1225697402.

Contact Information

	Kristine Vincent Cruz Angeles, DMD
	115 Calle Poral, Sierra Vista, AZ 85635
	(520) 459-3011
	(520) 364-4261

Map and Direction

Healthcare Provider's Profile

Full Name	Kristine Vincent Cruz Angeles
Gender	Female
Speciality	Dentist - General Practice
Location	115 Calle Poral, Sierra Vista, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225697402
Provider Enumeration Date: 06/11/2019
Last Update Date: 06/11/2019

Medicare PECOS Information:

PECOS PAC ID: 7214333012
Enrollment ID: I20221222000812

Medical Identifiers

Medical identifiers for Kristine Vincent Cruz Angeles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225697402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	D010393 (Arizona)	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. Kristine Vincent Cruz Angeles allows following entities to bill medicare on her behalf.

Entity Name	Salt River Pima-maricopa Indian Community
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942668991 PECOS PAC ID: 6204078025 Enrollment ID: O20150312001652

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. Kristine Vincent Cruz Angeles 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
Kristine Vincent Cruz Angeles, DMD 1205 N F Ave, Douglas, AZ 85607-1920 Ph: (520) 364-6852	Kristine Vincent Cruz Angeles, DMD 115 Calle Poral, Sierra Vista, AZ 85635 Ph: (520) 459-3011

Reviews and Comments

Dentist in Sierra Vista, AZ

Dr. Michael A Leavitt, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4990 E. Mediterranean Dr., Suite A, Sierra Vista, AZ 85635 Phone: 520-459-3067 Fax: 520-459-0113
Dr. Jamie Rae White, D.M.D., M.S., DHSC Dentist Medicare: Medicare Enrolled Practice Location: 2107 Paseo San Luis, Sierra Vista, AZ 85635 Phone: 520-390-1982
Dr. Stewart Allen Glines, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2107 Paseo San Luis, Sierra Vista, AZ 85635 Phone: 520-459-3067
Bristin Nan Scharf, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 115 Calle Portal, Sierra Vista, AZ 85635 Phone: 520-459-3011 Fax: 520-364-4261
Dr. Fredric J White, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2151 S Highway 92 Ste 109, Sierra Vista, AZ 85635 Phone: 520-730-8388
Andrew Thomas Kunstman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1989 Frontage Rd, Sierra Vista, AZ 85635 Phone: 520-458-5611 Fax: 520-458-8995

Kristine Vincent Cruz Angeles, DMD - Medicare Dentist in Sierra Vista, AZ