Rafael De La Cruz, MD | |
4 Memorial Dr Ste 230b, Alton, IL 62002-6705 | |
(636) 344-2014 | |
(314) 747-1476 |
Full Name | Rafael De La Cruz |
---|---|
Gender | Male |
Speciality | Infectious Disease |
Experience | 29 Years |
Location | 4 Memorial Dr Ste 230b, Alton, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669460655 | NPI | - | NPPES |
1669460655 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 2008007441 (Missouri) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 036-108921 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bjc Home Care Services | Saint louis, MO | Home health agency |
Elara Caring | Florissant, MO | Home health agency |
Progress West Hospital | O fallon, MO | Hospital |
Alton Memorial Hospital | Alton, IL | Hospital |
Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
Missouri Baptist Medical Center | Town and country, MO | Hospital |
Ssm St Joseph Health Center | Saint charles, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Heights Medical Group Sc | 6800784083 | 346 |
Fairview Heights Medical Group Sc | 6800784083 | 346 |
Entity Name | Fairview Heights Medical Group Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
Mailing Address | Practice Location Address |
---|---|
Rafael De La Cruz, MD 670 Mason Ridge Center Dr, Ste. 300, Saint Louis, MO 63141-8573 Ph: (636) 344-2014 | Rafael De La Cruz, MD 4 Memorial Dr Ste 230b, Alton, IL 62002-6705 Ph: (636) 344-2014 |
Ibrahim B.i. Elayyan, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 314-317-0600 Fax: 314-317-0606 | |
Dr. Barry Michael Mossman, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2 Memorial Dr, Ste 220, Alton, IL 62002 Phone: 618-474-1723 Fax: 618-474-6989 | |
Dr. Matthew Austin Nations, D.O. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 | |
Mr. David Robert Riedel, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002 Phone: 618-463-7874 Fax: 618-463-7846 | |
Dr. Stanley J Sidwell Iv, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216 | |
Dr. Edward B Blair Jr., M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 2 Saint Anthonys Way, Suite 205, Alton, IL 62002 Phone: 618-462-2222 Fax: 618-463-5004 | |
Dr. William Ray Bartley, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Dr, Suite 220, Alton, IL 62002 Phone: 618-463-8626 Fax: 618-463-8688 |