Antonio A De La Cruz, MD is a medicare enrolled "Allergy & Immunology" physician in Verona, New Jersey. His current practice location is
197 Bloomfield Ave, Verona, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 857-0330.
Antonio A De La Cruz is licensed to practice in New Jersey (license number 25MA06376600) 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 1467440776.
Physician's Profile
| Full Name | Antonio A De La Cruz |
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| Gender | Male |
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| Speciality | Allergy & Immunology |
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| Location | 197 Bloomfield Ave, Verona, New Jersey |
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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: 1467440776
- Provider Enumeration Date: 10/11/2005
- Last Update Date: 02/04/2011
Medicare PECOS Information:
- PECOS PAC ID: 6305859414
- Enrollment ID: I20060713000008
Medical Identifiers
Medical identifiers for Antonio A De La Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467440776 | NPI | - | NPPES |
| 1500902 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | 25MA06376600 (New Jersey) | 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. Antonio A De La Cruz allows following entities to bill medicare on his behalf.
| Entity Name | Allergy Consultants, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669416962
PECOS PAC ID: 3678586781
Enrollment ID: O20060713000007 |
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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. Antonio A 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 |
|---|
Antonio A De La Cruz, MD
197 Bloomfield Ave,
Verona, NJ 07044-2702
Ph: (973) 857-0330 | Antonio A De La Cruz, MD
197 Bloomfield Ave,
Verona, NJ 07044-2702
Ph: (973) 857-0330 |
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