Enrique Jose De La Cruz Hernandez, MD is a medicare enrolled "General Practice" physician in Holiday, Florida. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Aegis Medical Group Llc and his current practice location is
4931 Mile Stretch Dr, Holiday, Florida. You can reach out to his office (for appointments etc.) via phone at
(727) 937-3280.
Enrique Jose De La Cruz Hernandez is licensed to practice in Florida (license number ME143269) 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 1689920548.
Physician's Profile
Full Name | Enrique Jose De La Cruz Hernandez |
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Gender | Male |
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Speciality | General Practice |
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Experience | 22 Years |
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Location | 4931 Mile Stretch Dr, Holiday, Florida |
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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:
- Enrique Jose De La Cruz Hernandez graduated from medical school in 2002
NPI Data:
- NPI Number: 1689920548
- Provider Enumeration Date: 07/30/2012
- Last Update Date: 05/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628402443
- Enrollment ID: I20200102000650
Medical Identifiers
Medical identifiers for Enrique Jose De La Cruz Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689920548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | ME143269 (Florida) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Aegis Medical Group Llc | 8022324862 | 25 |
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. Enrique Jose De La Cruz Hernandez allows following entities to bill medicare on his behalf.
Entity Name | Aegis Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356769384 PECOS PAC ID: 8022324862 Enrollment ID: O20150825003518 |
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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. Enrique Jose De La Cruz Hernandez 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 |
Enrique Jose De La Cruz Hernandez, MD 4931 Mile Stretch Dr, Holiday, FL 34690-4348 Ph: (727) 937-3280 | Enrique Jose De La Cruz Hernandez, MD 4931 Mile Stretch Dr, Holiday, FL 34690-4348 Ph: (727) 937-3280 |
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