Sylvia S Cruz, DO - Medicare Obstetrics & Gynecology in Martinsburg, WV

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Sylvia S Cruz, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Martinsburg, West Virginia. Her current practice location is 215 South Louisiana Avenue, Martinsburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 267-5559.

Sylvia S Cruz is licensed to practice in West Virginia (license number 1634) 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 1225008105.

Contact Information

Sylvia S Cruz, DO
215 South Louisiana Avenue,
Martinsburg, WV 25401
(304) 267-5559
(304) 267-5557

Map and Direction




Physician's Profile

Full NameSylvia S Cruz
GenderFemale
SpecialityObstetrics & Gynecology
Location215 South Louisiana Avenue, Martinsburg, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225008105
  • Provider Enumeration Date: 01/24/2006
  • Last Update Date: 04/27/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 9638219066
  • Enrollment ID: I20241009004309

Medical Identifiers

Medical identifiers for Sylvia S Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225008105NPI-NPPES
51D0952997OtherCLIA
0093819000MedicaidWV
6213251OtherVAMEDICAID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 1634 (West Virginia)Primary
207V00000XObstetrics & Gynecology 5101012085 (Michigan)Secondary
207V00000XObstetrics & Gynecology 0102050038 (Virginia)Secondary

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. Sylvia S Cruz allows following entities to bill medicare on her behalf.
Entity NameTodu Guam Foundation, Ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063150530
PECOS PAC ID: 2062884828
Enrollment ID: O20230206000341

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. Sylvia S 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
Sylvia S Cruz, DO
215 South Louisiana Avenue,
Martinsburg, WV 25401

Ph: (304) 267-5559		Sylvia S Cruz, DO
215 South Louisiana Avenue,
Martinsburg, WV 25401

Ph: (304) 267-5559

Reviews and Comments


Obstetrics & Gynecology Doctors in Martinsburg, WV

Krista Hopkins, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 99 Tavern Rd, Martinsburg, WV 25401
Phone: 304-263-4999    
Dr. Kourtnie Roxanne Mcquillen, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 880 N Tennessee Ave Ste 105, Martinsburg, WV 25401
Phone: 304-264-8603    
H. Alexander Wanger, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 99 Tavern Rd, Martinsburg, WV 25401
Phone: 304-263-4999    
Mr. James Edward Brown, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 2010 Doctor Oates Dr, Ste 106, Martinsburg, WV 25401
Phone: 304-264-8603    Fax: 304-264-1577
Dr. Albert K Leung, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 323 Aikens Ctr, Martinsburg, WV 25404
Phone: 304-263-7100    Fax: 304-263-7441
Dr. Jessica Marie Hott, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 880 N Tennessee Ave Ste 105, Martinsburg, WV 25401
Phone: 304-264-8603    Fax: 304-264-1577

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.