Amanda N Delacruz, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Fort Lauderdale, Florida. Her current practice location is
2900 W Prospect Rd, Fort Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 731-1000.
Amanda N Delacruz is licensed to practice in Florida (license number SW19642) 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 1053041764.
Healthcare Provider's Profile
| Full Name | Amanda N Delacruz |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 2900 W Prospect Rd, Fort Lauderdale, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053041764
- Provider Enumeration Date: 06/15/2022
- Last Update Date: 06/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214318492
- Enrollment ID: I20220719002929
Medical Identifiers
Medical identifiers for Amanda N Delacruz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053041764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | SW19642 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | SW19642 (Florida) | Primary |
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. Amanda N Delacruz allows following entities to bill medicare on her behalf.
| Entity Name | Dr Stanley And Pearl Goodman Jfs Of Broward County Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760463236
PECOS PAC ID: 1850352618
Enrollment ID: O20041025000675 |
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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. Amanda N Delacruz 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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Amanda N Delacruz, LCSW
4740 N State Road 7,
Lauderdale Lakes, FL 33319-5839
Ph: () - | Amanda N Delacruz, LCSW
2900 W Prospect Rd,
Fort Lauderdale, FL 33309-2519
Ph: (954) 731-1000 |
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