Dr Carlos Cruz, DDS - Medicare Dentist in Edinburg, TX

Dr Carlos Cruz, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Edinburg, Texas. His current practice location is 2405 Cornerstone Blvd, Edinburg, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 627-3556.

Dr Carlos Cruz is licensed to practice in Texas (license number 18868) 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 1639172109.

Contact Information

Dr Carlos Cruz, DDS
2405 Cornerstone Blvd,
Edinburg, TX 78539
(956) 627-3556
(956) 627-3762

Map and Direction




Healthcare Provider's Profile

Full NameDr Carlos Cruz
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location2405 Cornerstone Blvd, Edinburg, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639172109
  • Provider Enumeration Date: 05/27/2005
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931115169
  • Enrollment ID: I20060227000096

Medical Identifiers

Medical identifiers for Dr Carlos Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639172109NPI-NPPES
TX1107690016OtherMEDICAID DENTAL
110769017OtherCSHCN
110769015MedicaidTX
X0100636OtherDPS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 18868 (Texas)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. Dr Carlos Cruz allows following entities to bill medicare on his behalf.
Entity NameOral And Craniofacial Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750699682
PECOS PAC ID: 6103005368
Enrollment ID: O20110120000827

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 Carlos 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 AddressPractice Location Address
Dr Carlos Cruz, DDS
2405 Cornerstone Blvd,
Edinburg, TX 78539

Ph: (956) 627-3556
Dr Carlos Cruz, DDS
2405 Cornerstone Blvd,
Edinburg, TX 78539

Ph: (956) 627-3556

Reviews and Comments


Dentist in Edinburg, TX

Rafael F Carrales, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1116 S 10th Ave, Edinburg, TX 78539
Phone: 956-219-8158    
Dr. Patrick B Wilcox, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2501 Cornerstone Blvd, Edinburg, TX 78539
Phone: 956-686-8611    Fax: 956-686-2668
Dr. Krystle Garza, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: Smile Station Pediatric Dentistry, 5011 S. Mccoll Rd, Edinburg, TX 78539
Phone: 956-686-4449    
Dr. Julio Cesar De La Fuente Jr., D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 5405 S Mccoll Rd, Edinburg, TX 78539
Phone: 956-668-1780    Fax: 956-668-1781
Mrs. Ana Elena Tijerina Lomeli,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2501 Cornerstone Blvd, Edinburg, TX 78539
Phone: 956-686-8611    Fax: 956-686-2668
Dr. Gerardo Athanasi Orfanos, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 4167 Crosspoint Blvd, Edinburg, TX 78539
Phone: 956-322-8060    Fax: 956-322-8074
Andrea Vargas-garcia, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1507 S. Mccoll Rd, Edinburg, TX 78541
Phone: 956-720-4345    

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).

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