Dr Mario Cruz, OD is a medicare enrolled "Optometrist" provider in Dillingham, Alaska. He went to Southern California College Of Optometry and graduated in 2017 and has 7 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Homer Eyecare Llc and his current practice location is
6000 Kanakanak, Dillingham, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 842-5201.
Dr Mario Cruz is licensed to practice in Alaska (license number 122876) 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 1962926956.
Healthcare Provider's Profile
| Full Name | Dr Mario Cruz |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 7 Years |
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| Location | 6000 Kanakanak, Dillingham, Alaska |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mario Cruz attended and graduated from Southern California College Of Optometry in 2017
NPI Data:
- NPI Number: 1962926956
- Provider Enumeration Date: 08/01/2017
- Last Update Date: 04/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 6103182860
- Enrollment ID: I20210909001766
Medical Identifiers
Medical identifiers for Dr Mario Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962926956 | NPI | - | NPPES |
| 1674551 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 122876 (Alaska) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Homer Eyecare Llc | 1355500158 | 2 |
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. Dr Mario Cruz allows following entities to bill medicare on his behalf.
| Provider Name | Homer Eyecare Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1124397682
PECOS PAC ID: 1355500158
Enrollment ID: O20120314000777 |
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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. Dr Mario 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 Address | Practice Location Address |
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Dr Mario Cruz, OD
Po Box 947,
Dillingham, AK 99576
Ph: (775) 315-7882 | Dr Mario Cruz, OD
6000 Kanakanak,
Dillingham, AK 99576
Ph: (907) 842-5201 |
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