Dr C Ivan E Cruz Jr, MD | |
2975 E Broad St Ste 200, Mansfield, TX 76063-9186 | |
(682) 518-8619 | |
(682) 518-8195 |
Full Name | Dr C Ivan E Cruz Jr |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 10 Years |
Location | 2975 E Broad St Ste 200, Mansfield, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134547979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | S2273 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Mansfield Medical Center | Mansfield, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medhealth | 9931001567 | 318 |
Entity Name | Medhealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912957200 PECOS PAC ID: 9931001567 Enrollment ID: O20040123000832 |
Mailing Address | Practice Location Address |
---|---|
Dr C Ivan E Cruz Jr, MD 2975 E Broad St Ste 200, Mansfield, TX 76063-9186 Ph: (682) 518-8619 | Dr C Ivan E Cruz Jr, MD 2975 E Broad St Ste 200, Mansfield, TX 76063-9186 Ph: (682) 518-8619 |
Ashfaq H Siddiqui, MD FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 309 Regency Pkwy, Suite 207, Mansfield, TX 76063 Phone: 817-225-2716 Fax: 817-225-2719 | |
Andrew Bertrand Standerwick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2975 E Broad St Ste 200, Mansfield, TX 76063 Phone: 682-518-8619 Fax: 682-518-8195 | |
Ethan Goss, PA-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 2975 E Broad St Ste 200, Mansfield, TX 76063 Phone: 682-518-8619 | |
Joshua Kyle Trussell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2975 E Broad St Ste 200, Mansfield, TX 76063 Phone: 682-518-8619 Fax: 682-518-8195 | |
Dr. Daniel Esteban Lopez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5 Addison Ct, Mansfield, TX 76063 Phone: 217-621-5907 | |
Dr. Jeremy Patrick Parcells, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2975 E Broad St Ste 200, Mansfield, TX 76063 Phone: 682-518-8619 Fax: 682-518-8195 |