Daniel Kruse, is a medicare enrolled "Social Worker - Clinical" provider in San Diego, California. His current practice location is
5472 El Cajon Blvd Ste 101, San Diego, California. You can reach out to his office (for appointments etc.) via phone at
(619) 269-0836.
Daniel Kruse is licensed to practice in California (license number 126330) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336758085.
Healthcare Provider's Profile
| Full Name | Daniel Kruse |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 5472 El Cajon Blvd Ste 101, San Diego, California |
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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: 1336758085
- Provider Enumeration Date: 07/29/2020
- Last Update Date: 11/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052846649
- Enrollment ID: I20241119003235
Medical Identifiers
Medical identifiers for Daniel Kruse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336758085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 104748 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 126330 (California) | 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. Daniel Kruse allows following entities to bill medicare on his behalf.
| Entity Name | Family Health Centers Of San Diego Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447281936
PECOS PAC ID: 3476446378
Enrollment ID: O20040204000923 |
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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. Daniel Kruse 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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Daniel Kruse,
4867 Loukelton Way,
San Diego, CA 92120-3631
Ph: (760) 964-7581 | Daniel Kruse,
5472 El Cajon Blvd Ste 101,
San Diego, CA 92115-3651
Ph: (619) 269-0836 |
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