Vincent Blair Cruz, MD is a medicare enrolled "Internal Medicine" physician in Middlefield, Ohio. His current practice location is
14567 Madison Rd, Middlefield, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 632-1668.
Vincent Blair Cruz is licensed to practice in Ohio (license number 35.142828) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033571948.
Physician's Profile
| Full Name | Vincent Blair Cruz |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 14567 Madison Rd, Middlefield, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033571948
- Provider Enumeration Date: 03/22/2016
- Last Update Date: 09/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 9234527292
- Enrollment ID: I20220317000445
Medical Identifiers
Medical identifiers for Vincent Blair Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033571948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 35.142828 (Ohio) | 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. Vincent Blair Cruz allows following entities to bill medicare on his behalf.
| Entity Name | Ddc Clinic For Special Needs Children |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124051842
PECOS PAC ID: 7618918426
Enrollment ID: O20120402000225 |
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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. Vincent Blair 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 |
|---|
Vincent Blair Cruz, MD
14567 Madison Rd,
Middlefield, OH 44062-9499
Ph: (440) 632-1668 | Vincent Blair Cruz, MD
14567 Madison Rd,
Middlefield, OH 44062-9499
Ph: (440) 632-1668 |
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