Dr Emmalyn Cruz De Claro, MD - Medicare Pediatrics in Gaithersburg, MD

Dr Emmalyn Cruz De Claro, MD is a medicare enrolled "Pediatrics" physician in Gaithersburg, Maryland. Her current practice location is 200 Girard St, Suite 212-a, Gaithersburg, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 216-0880.

Dr Emmalyn Cruz De Claro is licensed to practice in Washington (license number MD00047421) 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 1053435990.

Contact Information

Dr Emmalyn Cruz De Claro, MD
200 Girard St, Suite 212-a,
Gaithersburg, MD 20877-3466
(301) 216-0880
(301) 216-2891

Map and Direction




Physician's Profile

Full NameDr Emmalyn Cruz De Claro
GenderFemale
SpecialityPediatrics
Location200 Girard St, Gaithersburg, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053435990
  • Provider Enumeration Date: 03/17/2007
  • Last Update Date: 10/21/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9739463399
  • Enrollment ID: I20170227000493

Medical Identifiers

Medical identifiers for Dr Emmalyn Cruz De Claro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053435990NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD00047421 (Washington)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. Dr Emmalyn Cruz De Claro allows following entities to bill medicare on her behalf.
Entity NameCommunity Clinic, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790730281
PECOS PAC ID: 6204722614
Enrollment ID: O20040224000222

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. Dr Emmalyn Cruz De Claro 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
Dr Emmalyn Cruz De Claro, MD
200 Girard St, Suite 212-a,
Gaithersburg, MD 20877-3466

Ph: (301) 216-0880
Dr Emmalyn Cruz De Claro, MD
200 Girard St, Suite 212-a,
Gaithersburg, MD 20877-3466

Ph: (301) 216-0880

Reviews and Comments


Pediatrics Doctors in Gaithersburg, MD

Dr. Esther Shinyoung Song, M.D.
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Phone: 301-990-2544    Fax: 301-990-2545
Dr. Evonne D Bing, M.D.
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Phone: 301-216-0880    Fax: 301-216-2891
Dr. Ariel Dubelman, M.D.
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Rachel L Rennert, MD
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Practice Location: 903 Russell Ave, Ste 301, Gaithersburg, MD 20879
Phone: 301-869-2292    Fax: 301-869-4223
Dr. Tonse N Raju, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 281 Shadow Glen Ct, Gaithersburg, MD 20878
Phone: 240-631-8030    

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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