Mr Reynaldo De La Cruz Jr, - Medicare Nurse Practitioner in Forestville, MD

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Mr Reynaldo De La Cruz Jr, is a medicare enrolled "Nurse Practitioner - Family" in Forestville, Maryland. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Snf Physiatry Services Md Llc, Cnp Operating Co Llc and his current practice location is 7420 Marlboro Pike, Forestville, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 736-0240.

Mr Reynaldo De La Cruz Jr is licensed to practice in Maryland (license number AC007598) 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 1104630003.

Contact Information

Mr Reynaldo De La Cruz Jr,
7420 Marlboro Pike,
Forestville, MD 20747-4343
(301) 736-0240
(240) 628-7472

Map and Direction




Provider's Profile

Full NameMr Reynaldo De La Cruz Jr
GenderMale
SpecialityNurse Practitioner
Experience3 Years
Location7420 Marlboro Pike, Forestville, Maryland
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:
  • Mr Reynaldo De La Cruz Jr graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1104630003
  • Provider Enumeration Date: 02/03/2025
  • Last Update Date: 05/19/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8921518739
  • Enrollment ID: I20250613002357

Medical Identifiers

Medical identifiers for Mr Reynaldo De La Cruz Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104630003NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AC007598 (Maryland)Primary
363LF0000XNurse Practitioner - Family 0024192953 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 1194340 (Texas)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Snf Physiatry Services Md Llc105283765510
Cnp Operating Co Llc832526373474

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. Mr Reynaldo De La Cruz Jr allows following entities to bill medicare on his behalf.
Entity NameCnp Operating Co Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518386739
PECOS PAC ID: 8325263734
Enrollment ID: O20210805002336
Entity NamePa Post Acute Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255057063
PECOS PAC ID: 7911374905
Enrollment ID: O20240416004194

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. Mr Reynaldo De La Cruz Jr 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
Mr Reynaldo De La Cruz Jr,
4508 Harvest Rd,
Temple Hills, MD 20748-3612

Ph: (202) 945-2893		Mr Reynaldo De La Cruz Jr,
7420 Marlboro Pike,
Forestville, MD 20747-4343

Ph: (301) 736-0240

Reviews and Comments


Nurse Practitioner Nurses in Forestville, MD

Paula Marie Young, NP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 7610 Pennsylvania Ave, Forestville, MD 20747
Phone: 301-201-0968    Fax: 240-716-5199
Laquida Johnson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7610 Pennsylvania Ave Ste 301, Forestville, MD 20747
Phone: 240-838-3707    

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.