Dr Lesley Anne Cruz Portugal, MD is a medicare enrolled "Hospitalist" physician in Moscow, Idaho. She went to Rutgers, Robert Woood Johnson Medical School and graduated in 2015 and has 9 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Queens University Medical Group and her current practice location is
700 S Main St, Moscow, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 882-4511.
Dr Lesley Anne Cruz Portugal is licensed to practice in Washington (license number MD60915046) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023498532.
Physician's Profile
| Full Name | Dr Lesley Anne Cruz Portugal |
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| Gender | Female |
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| Speciality | Hospitalist |
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| Experience | 9 Years |
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| Location | 700 S Main St, Moscow, Idaho |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Lesley Anne Cruz Portugal attended and graduated from Rutgers, Robert Woood Johnson Medical School in 2015
NPI Data:
- NPI Number: 1023498532
- Provider Enumeration Date: 06/01/2015
- Last Update Date: 03/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 7012267057
- Enrollment ID: I20231003002419
Medical Identifiers
Medical identifiers for Dr Lesley Anne Cruz Portugal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023498532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | M-14838 (Idaho) | Secondary |
| 207R00000X | Internal Medicine | MD60915046 (Washington) | Secondary |
| 208M00000X | Hospitalist | MD60915046 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Queens University Medical Group | 2466831557 | 545 |
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 Lesley Anne Cruz Portugal allows following entities to bill medicare on her behalf.
| Entity Name | Queens University Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891441382
PECOS PAC ID: 2466831557
Enrollment ID: O20220621000534 |
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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. Dr Lesley Anne Cruz Portugal 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 |
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Dr Lesley Anne Cruz Portugal, MD
700 S Main St,
Moscow, ID 83843-3046
Ph: (208) 882-4511 | Dr Lesley Anne Cruz Portugal, MD
700 S Main St,
Moscow, ID 83843-3046
Ph: (208) 882-4511 |
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