Johanna Delacroix, MD is a medicare enrolled "Pediatrics" physician in Norfolk, Nebraska. Her current practice location is
2700 W Norfolk Ave, Norfolk, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 371-4880.
Johanna Delacroix is licensed to practice in Nebraska (license number 28446) 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 1689807315.
Physician's Profile
| Full Name | Johanna Delacroix |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics |
|---|
| Location | 2700 W Norfolk Ave, Norfolk, Nebraska |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689807315
- Provider Enumeration Date: 08/28/2009
- Last Update Date: 06/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214238856
- Enrollment ID: I20151223001734
Medical Identifiers
Medical identifiers for Johanna Delacroix such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689807315 | NPI | - | NPPES |
| 200257463 | Other | NY | UNITED HEALTHCARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | MD42492 (Iowa) | Secondary |
| 208000000X | Pediatrics | MD2017-0255 (New Mexico) | Secondary |
| 208000000X | Pediatrics | MD29627 (Maine) | Secondary |
| 208000000X | Pediatrics | 83453 (South Carolina) | Secondary |
| 208000000X | Pediatrics | 12145C (Wyoming) | Secondary |
| 208000000X | Pediatrics | C1-0023869 (Delaware) | Secondary |
| 208000000X | Pediatrics | MD18802 (Hawaii) | Secondary |
| 208000000X | Pediatrics | 28446 (Nebraska) | 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. Johanna Delacroix allows following entities to bill medicare on her behalf.
| Entity Name | Trinity Regional Medical Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1073594156 PECOS PAC ID: 7315858529 Enrollment ID: O20031204000921 |
|---|
| Entity Name | Ottumwa Health Group Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1386956290 PECOS PAC ID: 3971629924 Enrollment ID: O20100927001257 |
|---|
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. Johanna Delacroix 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 |
Johanna Delacroix, MD 3950 Old Santa Fe Trl, Santa Fe, NM 87505-4538 Ph: () - | Johanna Delacroix, MD 2700 W Norfolk Ave, Norfolk, NE 68701-4438 Ph: (402) 371-4880 |
Reviews and Comments