Lourdes M Cruz, MD is a medicare enrolled "Family Medicine" physician in Carlinville, Illinois. Her current practice location is
20613 N Broad St, Suite B, Carlinville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 854-3881.
Lourdes M Cruz is licensed to practice in Illinois (license number 036096484) 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 1932165537.
Physician's Profile
| Full Name | Lourdes M Cruz |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 20613 N Broad St, Carlinville, Illinois |
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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: 1932165537
- Provider Enumeration Date: 04/22/2006
- Last Update Date: 12/12/2016
Medicare PECOS Information:
- PECOS PAC ID: 0648161851
- Enrollment ID: I20141111000939
Medical Identifiers
Medical identifiers for Lourdes M Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932165537 | NPI | - | NPPES |
| 036096484 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 036096484 (Illinois) | 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. Lourdes M Cruz allows following entities to bill medicare on her behalf.
| Entity Name | Carlinville Area Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932275641
PECOS PAC ID: 9032021373
Enrollment ID: O20031104000520 |
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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. Lourdes M 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 Address | Practice Location Address |
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Lourdes M Cruz, MD
20613 N Broad St, Suite B,
Carlinville, IL 62626-3717
Ph: (217) 854-3881 | Lourdes M Cruz, MD
20613 N Broad St, Suite B,
Carlinville, IL 62626-3717
Ph: (217) 854-3881 |
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