Merle Correa Cruz-encarnacion, MD - Medicare Internal Medicine in Jersey City, NJ

Merle Correa Cruz-encarnacion, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Jersey City, New Jersey. Her current practice location is 201 Saint Pauls Ave, Suite 1d, Jersey City, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 653-7533.

Merle Correa Cruz-encarnacion is licensed to practice in New Jersey (license number MA044053) 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 1043295579.

Contact Information

Merle Correa Cruz-encarnacion, MD
201 Saint Pauls Ave, Suite 1d,
Jersey City, NJ 07306-3724
(201) 653-7533
(201) 653-7960

Map and Direction




Physician's Profile

Full NameMerle Correa Cruz-encarnacion
GenderFemale
SpecialityInternal Medicine - Cardiovascular Disease
Location201 Saint Pauls Ave, Jersey City, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043295579
  • Provider Enumeration Date: 12/07/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2769412493
  • Enrollment ID: I20050812000758

Medical Identifiers

Medical identifiers for Merle Correa Cruz-encarnacion such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043295579NPI-NPPES
2067609MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease MA044053 (New Jersey)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. Merle Correa Cruz-encarnacion allows following entities to bill medicare on her behalf.
Entity NameGarden State Healthcare Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700014545
PECOS PAC ID: 8426190687
Enrollment ID: O20100126000693

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. Merle Correa Cruz-encarnacion 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
Merle Correa Cruz-encarnacion, MD
201 Saint Pauls Ave, Suite 1d,
Jersey City, NJ 07306-3724

Ph: (201) 653-7533
Merle Correa Cruz-encarnacion, MD
201 Saint Pauls Ave, Suite 1d,
Jersey City, NJ 07306-3724

Ph: (201) 653-7533

Reviews and Comments


Internal Medicine Doctors in Jersey City, NJ

Dr. Alita Logrono Dizon, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 377 Jersey Ave, Suite 460, Jersey City, NJ 07302
Phone: 201-332-4110    Fax: 201-332-4122
Mrs. Sonia Castaneda Velasco, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 172 Newark Ave, Jersey City, NJ 07302
Phone: 201-332-4727    Fax: 201-332-4157
Dr. Vladimir Znamensky, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 120 Franklin St, Jersey City, NJ 07307
Phone: 201-216-9791    Fax: 201-216-1362
Saira Shah, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 355 Grand St, Medicine Dept,3rd Floor, Jersey City, NJ 07302
Phone: 201-915-2000    
Zorayda Olaya De Leon, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 311 Palisade Ave, Jersey City, NJ 07307
Phone: 201-963-5500    Fax: 201-963-5563
Dr. Jared Saul Krok, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 355 Grand St, Jersey City, NJ 07302
Phone: 201-915-2431    
Merwin F Richard, M.D
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 550 Newark Ave, Ste 307, Jersey City, NJ 07306
Phone: 201-418-9111    Fax: 201-418-9118

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.