Moses Godofredo Tomacruz, MD in Rockford, IL

Moses Godofredo Tomacruz, MD is a medicare enrolled "Family Medicine" physician in Rockford, Illinois. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Endeavor Health Medical Group and his current practice location is 1502 Parkview Ave, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 381-7250.

Moses Godofredo Tomacruz is licensed to practice in Illinois (license number 036-120622) 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 1144414921.

Contact Information

	Moses Godofredo Tomacruz, MD
	1502 Parkview Ave, Rockford, IL 61107-1821
	(815) 381-7250
	(815) 381-7251

Map and Direction

Physician's Profile

Full Name	Moses Godofredo Tomacruz
Gender	Male
Speciality	Family Practice
Experience	22 Years
Location	1502 Parkview Ave, Rockford, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Moses Godofredo Tomacruz graduated from medical school in 2002

NPI Data:

NPI Number: 1144414921
Provider Enumeration Date: 09/05/2007
Last Update Date: 03/03/2021

Medicare PECOS Information:

PECOS PAC ID: 4385718253
Enrollment ID: I20080811000675

Medical Identifiers

Medical identifiers for Moses Godofredo Tomacruz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144414921	NPI	-	NPPES
36120622	Medicaid	IL
553180	Other	IL	MEDICARE GROUP #
801570	Other	IL	MEDICARE GROUP #
834370	Other	IL	MEDICARE GROUP #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036-120622 (Illinois)	Primary
207Q00000X	Family Medicine	MT186770 (Pennsylvania)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Residential Home Health	Downers grove, IL	Home health agency
Edward Hospital	Naperville, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Endeavor Health Medical Group	2163334699	2710

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. Moses Godofredo Tomacruz allows following entities to bill medicare on his behalf.

Entity Name	Edward Health Ventures
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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. Moses Godofredo Tomacruz 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
Moses Godofredo Tomacruz, MD 24600 W 127th St Ste 100, Plainfield, IL 60585-9507 Ph: (815) 731-9000	Moses Godofredo Tomacruz, MD 1502 Parkview Ave, Rockford, IL 61107-1821 Ph: (815) 381-7250

Reviews and Comments

Family Medicine Doctors in Rockford, IL

Srivani Sridhar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3505 N. Bell School Rd., Rockford, IL 61114 Phone: 779-696-0300
Dr. John Wall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600
Dr. Steven J Lidvall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 N Alpine Rd, Rockford, IL 61107 Phone: 815-391-7807
Dr. Arpana Broor Mathur, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 698 Featherstone Rd, Suite 250, Rockford, IL 61107 Phone: 815-399-4404 Fax: 815-484-7091
Ms. Rachael Mcpeek, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 1215 N Alpine Rd, Rockford, IL 61107 Phone: 815-490-1600
Dr. Jithinraj Edakkanambeth Varayil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881
Dr. Raju M Shanmugam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 N Perryville Rd, Rockford, IL 61114 Phone: 815-971-2000 Fax: 815-971-2000

Moses Godofredo Tomacruz, MD - Medicare Family Practice in Rockford, IL