Hannaise C Cruz, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Los Angeles, California. Her current practice location is
6041 Cadillac Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(323) 857-2799.
Hannaise C Cruz is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972773570.
Physician's Profile
Full Name | Hannaise C Cruz |
---|
Gender | Female |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 6041 Cadillac Ave, Los Angeles, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972773570
- Provider Enumeration Date: 03/10/2008
- Last Update Date: 12/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 9739315136
- Enrollment ID: I20131113000339
Medical Identifiers
Medical identifiers for Hannaise C Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972773570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 257799 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Hannaise C Cruz allows following entities to bill medicare on her behalf.
Entity Name | Southern California Permanente Medical Group |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
---|
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. Hannaise C 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 |
Hannaise C Cruz, MD 82 Borcher Ave, Yonkers, NY 10704-2738 Ph: () - | Hannaise C Cruz, MD 6041 Cadillac Ave, Los Angeles, CA 90034-1702 Ph: (323) 857-2799 |
Reviews and Comments