Rafael Pablo Fontirroche Cruz, MD - Medicare Family Practice in Mcallen, TX

Rafael Pablo Fontirroche Cruz, MD is a medicare enrolled "Family Medicine" physician in Mcallen, Texas. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mcallen Hospitalist Group Pllc and his current practice location is 301 W Expressway 83, Mcallen, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 632-4000.

Rafael Pablo Fontirroche Cruz is licensed to practice in Texas (license number S0673) 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 1891158614.

Contact Information

Rafael Pablo Fontirroche Cruz, MD
301 W Expressway 83,
Mcallen, TX 78503-3045
(956) 632-4000
Not Available

Map and Direction




Physician's Profile

Full NameRafael Pablo Fontirroche Cruz
GenderMale
SpecialityFamily Practice
Experience30 Years
Location301 W Expressway 83, Mcallen, Texas
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:
  • Rafael Pablo Fontirroche Cruz graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1891158614
  • Provider Enumeration Date: 03/30/2016
  • Last Update Date: 07/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2062701758
  • Enrollment ID: I20190626000876

Medical Identifiers

Medical identifiers for Rafael Pablo Fontirroche Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891158614NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist S0673 (Texas)Secondary
207Q00000XFamily Medicine S0673 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
South Texas Health SystemEdinburg, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mcallen Hospitalist Group Pllc983011383699

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. Rafael Pablo Fontirroche Cruz allows following entities to bill medicare on his behalf.
Entity NameMcallen Hospitalist Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356361976
PECOS PAC ID: 9830113836
Enrollment ID: O20060117001076

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. Rafael Pablo Fontirroche 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
Rafael Pablo Fontirroche Cruz, MD
Po Box 3046,
Malvern, PA 19355-0746

Ph: (956) 632-4000
Rafael Pablo Fontirroche Cruz, MD
301 W Expressway 83,
Mcallen, TX 78503-3045

Ph: (956) 632-4000

Reviews and Comments


Family Medicine Doctors in Mcallen, TX

Enrique Carrasco Rojas, M.D.
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Medicare: Medicare Enrolled
Practice Location: 501 N Ware Rd, Mcallen, TX 78501
Phone: 956-668-0044    Fax: 956-687-9747
Dr. Leonel G Moreno, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 606 S Broadway Avenue, Mcallen, TX 78501
Phone: 956-682-4515    Fax: 956-662-7628
Maria De Jesus Munoz, M.D.
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Practice Location: 1000 E Dove Ave, Mcallen, TX 78504
Phone: 956-362-3520    Fax: 956-362-3529
Jesus A Zavaleta Jr., MD
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Medicare: Accepting Medicare Assignments
Practice Location: 204 Nolana, Mcallen, TX 78504
Phone: 956-687-9554    
Ricardo Canales, MD PA
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 240 Lindberg Ave, Mcallen, TX 78501
Phone: 956-686-2020    Fax: 956-686-3094
Andrew Dela Garza, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 205 E Toronto Ave, Mcallen, TX 78503
Phone: 956-687-6155    
John Steven Hanley, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 110 E Savannah Ave Bldg A203, Mcallen, TX 78503
Phone: 956-686-4040    Fax: 956-686-2939

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.