Dr Melvin Pilapil De La Cruz, MD - Medicare Internal Medicine in Lodi, CA

Dr Melvin Pilapil De La Cruz, MD is a medicare enrolled "Internal Medicine" physician in Lodi, California. His current practice location is 975 S Fairmont Ave, Lodi, California. You can reach out to his office (for appointments etc.) via phone at (209) 339-7639.

Dr Melvin Pilapil De La Cruz is licensed to practice in California (license number A143139) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346681293.

Contact Information

Dr Melvin Pilapil De La Cruz, MD
975 S Fairmont Ave,
Lodi, CA 95240-5118
(209) 339-7639
Not Available

Map and Direction




Physician's Profile

Full NameDr Melvin Pilapil De La Cruz
GenderMale
SpecialityInternal Medicine
Location975 S Fairmont Ave, Lodi, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346681293
  • Provider Enumeration Date: 07/08/2013
  • Last Update Date: 07/14/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3173805926
  • Enrollment ID: I20170131001695

Medical Identifiers

Medical identifiers for Dr Melvin Pilapil De La Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346681293NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A143139 (California)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 Melvin Pilapil De La Cruz allows following entities to bill medicare on his behalf.
Entity NameLodi Memorial Hospital Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861649352
PECOS PAC ID: 7618880717
Enrollment ID: O20050517000577
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335
Entity NameMerced Hospitalist Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730431875
PECOS PAC ID: 5890948582
Enrollment ID: O20130108000022
Entity NameFarallon Inpatient Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417441080
PECOS PAC ID: 2567715550
Enrollment ID: O20181020000823

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 Melvin Pilapil De La 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 AddressPractice Location Address
Dr Melvin Pilapil De La Cruz, MD
2315 Stockton Blvd,
Sacramento, CA 95817-2201

Ph: (916) 734-3853
Dr Melvin Pilapil De La Cruz, MD
975 S Fairmont Ave,
Lodi, CA 95240-5118

Ph: (209) 339-7639

Reviews and Comments


Internal Medicine Doctors in Lodi, CA

Frank T Huang, MD
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Phone: 209-334-8520    Fax: 209-334-2109
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Phone: 209-334-3923    Fax: 209-334-3985
Dr. Than Soe, M.D.
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Mani Mahdyoon, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 845 S Fairmont Ave Ste 5, Lodi, CA 95240
Phone: 209-366-2360    Fax: 209-366-2352
Khaleeq Hussain Siddiqui, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 621 S Ham Ln Ste A, Lodi, CA 95242
Phone: 209-334-8514    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.