Luis De La Cruz, MD - Medicare Pulmonary Disease in Spartanburg, SC

Luis De La Cruz, MD is a medicare enrolled "Internal Medicine - Sleep Medicine" physician in Spartanburg, South Carolina. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Upstate Lung And Critical Care Specialists Pc and his current practice location is 151 Harold Fleming Court, Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 573-6320.

Luis De La Cruz is licensed to practice in South Carolina (license number 28826) 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 1033138912.

Contact Information

Luis De La Cruz, MD
151 Harold Fleming Court,
Spartanburg, SC 29303-4225
(864) 573-6320
(864) 573-6323

Map and Direction




Physician's Profile

Full NameLuis De La Cruz
GenderMale
SpecialityPulmonary Disease
Experience26 Years
Location151 Harold Fleming Court, Spartanburg, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Luis De La Cruz graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1033138912
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 12/30/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6406853654
  • Enrollment ID: I20061031000340

Medical Identifiers

Medical identifiers for Luis De La Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033138912NPI-NPPES
GP3212MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RS0012XInternal Medicine - Sleep Medicine 28826 (South Carolina)Primary
207RP1001XInternal Medicine - Pulmonary Disease 28826 (South Carolina)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 28826 (South Carolina)Secondary
207R00000XInternal Medicine 28826 (South Carolina)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spartanburg Medical CenterSpartanburg, SCHospital
Cherokee Medical CenterGaffney, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upstate Lung And Critical Care Specialists Pc77199461859

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. Luis De La Cruz allows following entities to bill medicare on his behalf.
Entity NameSpartanburg Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699729939
PECOS PAC ID: 3072425297
Enrollment ID: O20040702000686
Entity NameUpstate Lung And Critical Care Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033141098
PECOS PAC ID: 7719946185
Enrollment ID: O20041011000276
Entity NameAnderson Sleep And Lung Center, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407287493
PECOS PAC ID: 5092946020
Enrollment ID: O20140314001847
Entity NameProvidence Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285253336
PECOS PAC ID: 9638475627
Enrollment ID: O20160328001916

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. Luis De La 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 AddressPractice Location Address
Luis De La Cruz, MD
151 Harold Fleming Court,
Spartanburg, SC 29303-4225

Ph: (864) 573-6320
Luis De La Cruz, MD
151 Harold Fleming Court,
Spartanburg, SC 29303-4225

Ph: (864) 573-6320

Reviews and Comments


Internal Medicine Doctors in Spartanburg, SC

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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