Dr Jose Cruzzavala, MD in Parkersburg, WV - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery)

Dr Jose Cruzzavala, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Parkersburg, West Virginia. His current practice location is 600 18th Street, Suite 201, Parkersburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 424-4760.

Dr Jose Cruzzavala is licensed to practice in West Virginia (license number 15479) 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 1629162342.

Contact Information

	Dr Jose Cruzzavala, MD
	600 18th Street, Suite 201, Parkersburg, WV 26101
	(304) 424-4760
	(304) 424-4761

Map and Direction

Physician's Profile

Full Name	Dr Jose Cruzzavala
Gender	Male
Speciality	Thoracic Surgery (cardiothoracic Vascular Surgery)
Location	600 18th Street, Parkersburg, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629162342
Provider Enumeration Date: 10/03/2006
Last Update Date: 10/13/2014

Medicare PECOS Information:

PECOS PAC ID: 7911981915
Enrollment ID: I20210729001637

Medical Identifiers

Medical identifiers for Dr Jose Cruzzavala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629162342	NPI	-	NPPES
0129506000	Medicaid	WV
020045089	Other	WV	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	15479 (West Virginia)	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 Jose Cruzzavala allows following entities to bill medicare on his behalf.

Entity Name	J Mark Morales Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225168784 PECOS PAC ID: 8628230182 Enrollment ID: O20120427000519

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 Jose Cruzzavala 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
Dr Jose Cruzzavala, MD 600 18th Street, Suite 201, Parkersburg, WV 26101 Ph: (304) 424-4760	Dr Jose Cruzzavala, MD 600 18th Street, Suite 201, Parkersburg, WV 26101 Ph: (304) 424-4760

Dr Jose Cruzzavala, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Parkersburg, WV