Jose M Encarnacion-cruz, MD - Medicare Rheumatology in Levittown, PR

Jose M Encarnacion-cruz, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Levittown, Puerto Rico. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Rheumatology. He is a member of the group practice Centro De Servicios Primarios De Salud Inc and his current practice location is Ha2 Calle Antonio Paoli, Septima Seccion, Levittown, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 784-4068.

Jose M Encarnacion-cruz is licensed to practice in Puerto Rico (license number 13036) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467567503.

Contact Information

Jose M Encarnacion-cruz, MD
Ha2 Calle Antonio Paoli, Septima Seccion,
Levittown, PR 00949
(787) 784-4068
(787) 784-4069

Map and Direction




Physician's Profile

Full NameJose M Encarnacion-cruz
GenderMale
SpecialityRheumatology
Experience29 Years
LocationHa2 Calle Antonio Paoli, Levittown, Puerto Rico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jose M Encarnacion-cruz graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1467567503
  • Provider Enumeration Date: 08/20/2006
  • Last Update Date: 02/16/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4082870647
  • Enrollment ID: I20120924000722

Medical Identifiers

Medical identifiers for Jose M Encarnacion-cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467567503NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 13036 (Puerto Rico)Secondary
207RR0500XInternal Medicine - Rheumatology 13036 (Puerto Rico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Doctors' Center Hospital, IncManati, PRHospital

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. Jose M Encarnacion-cruz allows following entities to bill medicare on his behalf.
Entity NameCentro De Servicios Primarios De Salud Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104896190
PECOS PAC ID: 1456549005
Enrollment ID: O20101222001007

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. Jose M Encarnacion-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 AddressPractice Location Address
Jose M Encarnacion-cruz, MD
Po Box 51396,
Toa Baja, PR 00950-1396

Ph: (787) 261-1027
Jose M Encarnacion-cruz, MD
Ha2 Calle Antonio Paoli, Septima Seccion,
Levittown, PR 00949

Ph: (787) 784-4068

Reviews and Comments


Internal Medicine Doctors in Levittown, PR

Milagro Cortes-mercado, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: Ha2 Calle Antonio Paoli, Septima Seccion, Levittown, PR 00949
Phone: 787-784-4068    Fax: 787-784-4069

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.