Gustavo Cruz Giniebra, NP is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Manville, New Jersey. His current practice location is
1015 Saint John St, Manville, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(551) 300-4947.
Gustavo Cruz Giniebra is licensed to practice in New Jersey (license number 26NJ15314100) 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 1215721188.
Physician's Profile
| Full Name | Gustavo Cruz Giniebra |
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| Gender | Male |
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| Speciality | Internal Medicine - Geriatric Medicine |
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| Location | 1015 Saint John St, Manville, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215721188
- Provider Enumeration Date: 04/07/2025
- Last Update Date: 04/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 4587182993
- Enrollment ID: I20250520000695
Medical Identifiers
Medical identifiers for Gustavo Cruz Giniebra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215721188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RG0300X | Internal Medicine - Geriatric Medicine | 26NJ15314100 (New Jersey) | 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. Gustavo Cruz Giniebra allows following entities to bill medicare on his behalf.
| Entity Name | Id Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639146277
PECOS PAC ID: 7719959998
Enrollment ID: O20101208000463 |
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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. Gustavo Cruz Giniebra 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 |
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Gustavo Cruz Giniebra, NP
1015 Saint John St,
Manville, NJ 08835-1148
Ph: (551) 300-4947 | Gustavo Cruz Giniebra, NP
1015 Saint John St,
Manville, NJ 08835-1148
Ph: (551) 300-4947 |
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