Dr Alexis Lynn De La Cruz, DO is a
Student In An Organized Health Care Education/training Program physician based in Youngstown, Ohio. Dr Alexis Lynn De La Cruz is licensed to practice in Ohio (license number 58031720) and her current practice location is 1044 Belmont Ave, Youngstown, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 480-3752.
NPI number for Dr Alexis Lynn De La Cruz is 1528687381 and her current mailing address is 1044 Belmont Ave, Youngstown, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528687381.
Physician's Profile
| Full Name | Dr Alexis Lynn De La Cruz |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1044 Belmont Ave, Youngstown, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528687381
- Provider Enumeration Date: 04/13/2020
- Last Update Date: 08/07/2020
Medical Identifiers
Medical identifiers for Dr Alexis Lynn De La Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528687381 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 58031720 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 58031720 (Ohio) | Primary |
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 Alexis Lynn De La Cruz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Alexis Lynn De La Cruz, DO
1044 Belmont Ave,
Youngstown, OH 44504-1006
Ph: () - | Dr Alexis Lynn De La Cruz, DO
1044 Belmont Ave,
Youngstown, OH 44504-1006
Ph: (330) 480-3752 |
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