Lourdes Marie Davila Cruz, in Orlando, FL - Medicare General Practice

Lourdes Marie Davila Cruz, is a medicare enrolled "General Practice" physician in Orlando, Florida. Her current practice location is 431 N Semoran Blvd, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 894-5054.

Lourdes Marie Davila Cruz is licensed to practice in Florida (license number ACN1407) 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 1902413990.

Contact Information

	Lourdes Marie Davila Cruz,
	431 N Semoran Blvd, Orlando, FL 32807-3323
	(407) 894-5054
	(407) 894-7818

Map and Direction

Physician's Profile

Full Name	Lourdes Marie Davila Cruz
Gender	Female
Speciality	General Practice
Location	431 N Semoran Blvd, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902413990
Provider Enumeration Date: 09/24/2020
Last Update Date: 04/25/2022

Medicare PECOS Information:

PECOS PAC ID: 5294134326
Enrollment ID: I20220310002139

Medical Identifiers

Medical identifiers for Lourdes Marie Davila Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902413990	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	ACN1407 (Florida)	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 Marie Davila Cruz allows following entities to bill medicare on her behalf.

Entity Name	Primary Healthcare Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063544963 PECOS PAC ID: 4183606601 Enrollment ID: O20040607000910

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 Marie Davila 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
Lourdes Marie Davila Cruz, 308 W Bass St, Kissimmee, FL 34741-5001 Ph: () -	Lourdes Marie Davila Cruz, 431 N Semoran Blvd, Orlando, FL 32807-3323 Ph: (407) 894-5054

Reviews and Comments

General Practice Doctors in Orlando, FL

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Lourdes Marie Davila Cruz, - Medicare General Practice in Orlando, FL