Justin De La Cruz, is a medicare enrolled "Physical Therapist" provider in Rancho Murieta, California. He graduated from medical school in 2024 and has 1 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Mdrs Spine And Sport Inc and his current practice location is
7281 Lone Pine Dr Ste D103, Rancho Murieta, California. You can reach out to his office (for appointments etc.) via phone at
(916) 354-0719.
Justin De La Cruz is licensed to practice in California (license number 307229) 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 1407667637.
Healthcare Provider's Profile
| Full Name | Justin De La Cruz |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 1 Years |
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| Location | 7281 Lone Pine Dr Ste D103, Rancho Murieta, California |
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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. |
Medical Education and Training:
- Justin De La Cruz graduated from medical school in 2024
NPI Data:
- NPI Number: 1407667637
- Provider Enumeration Date: 01/16/2025
- Last Update Date: 01/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 4789113861
- Enrollment ID: I20250120000827
Medical Identifiers
Medical identifiers for Justin De La Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407667637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 307229 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mdrs Spine And Sport Inc | 3274446687 | 147 |
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. Justin De La Cruz allows following entities to bill medicare on his behalf.
| Provider Name | Mdrs Spine & Sport Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725 |
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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. Justin De La 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 |
Justin De La Cruz, 7281 Lone Pine Dr Ste D103, Rancho Murieta, CA 95683-9715 Ph: (916) 354-0719 | Justin De La Cruz, 7281 Lone Pine Dr Ste D103, Rancho Murieta, CA 95683-9715 Ph: (916) 354-0719 |
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