Dr Jose Cruzzavala, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Parkersburg, West Virginia. He graduated from medical school in 1977 and has 48 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice J Mark Morales Md Pa and his current practice location is
600 18th Street, Suite 201, Parkersburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 424-4760.
Dr Jose Cruzzavala is licensed to practice in West Virginia (license number 15479) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629162342.
Physician's Profile
| Full Name | Dr Jose Cruzzavala |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 48 Years |
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| Location | 600 18th Street, Parkersburg, West Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jose Cruzzavala graduated from medical school in 1977
NPI Data:
- NPI Number: 1629162342
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 10/13/2014
Medicare PECOS Information:
- PECOS PAC ID: 7911981915
- Enrollment ID: I20210903000198
Medical Identifiers
Medical identifiers for Dr Jose Cruzzavala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629162342 | NPI | - | NPPES |
| 0129506000 | Medicaid | WV | |
| 020045089 | Other | WV | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 15479 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| J Mark Morales Md Pa | 8628230182 | 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. Dr Jose Cruzzavala allows following entities to bill medicare on his behalf.
| Entity Name | J Mark Morales Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225168784 PECOS PAC ID: 8628230182 Enrollment ID: O20210611001861 |
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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. Dr Jose Cruzzavala 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 |
Dr Jose Cruzzavala, MD 600 18th Street, Suite 201, Parkersburg, WV 26101 Ph: (304) 424-4760 | Dr Jose Cruzzavala, MD 600 18th Street, Suite 201, Parkersburg, WV 26101 Ph: (304) 424-4760 |
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