Mark Anthony Dela Cruz Sy Iii, MD in Los Angeles, CA

Mark Anthony Dela Cruz Sy Iii, MD is a medicare enrolled "Anesthesiology - Pediatric Anesthesiology" physician in Los Angeles, California. His current practice location is 4867 W Sunset Blvd, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 783-4011.

Mark Anthony Dela Cruz Sy Iii is licensed to practice in California (license number A171500) 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 1609309905.

Contact Information

	Mark Anthony Dela Cruz Sy Iii, MD
	4867 W Sunset Blvd, Los Angeles, CA 90027-5969
	(323) 783-4011
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark Anthony Dela Cruz Sy Iii
Gender	Male
Speciality	Anesthesiology - Pediatric Anesthesiology
Location	4867 W Sunset Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609309905
Provider Enumeration Date: 04/04/2017
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 6406103050
Enrollment ID: I20221014001913

Medical Identifiers

Medical identifiers for Mark Anthony Dela Cruz Sy Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609309905	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP3000X	Anesthesiology - Pediatric Anesthesiology	A171500 (California)	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. Mark Anthony Dela Cruz Sy Iii allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Simi Valley Anesthesia Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912936709 PECOS PAC ID: 2062454804 Enrollment ID: O20050523000866

Entity Name	White Memorial Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215927470 PECOS PAC ID: 4486622362 Enrollment ID: O20100625000830

Entity Name	Glendale Adventist Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831188275 PECOS PAC ID: 4284692096 Enrollment ID: O20110510000465

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. Mark Anthony Dela Cruz Sy Iii 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
Mark Anthony Dela Cruz Sy Iii, MD 11611 Moorpark St Apt 6, North Hollywood, CA 91602-4229 Ph: () -	Mark Anthony Dela Cruz Sy Iii, MD 4867 W Sunset Blvd, Los Angeles, CA 90027-5969 Ph: (323) 783-4011

Reviews and Comments

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Mark Anthony Dela Cruz Sy Iii, MD - Medicare Anesthesiology in Los Angeles, CA