Alfonso Cruz Manuel, in North Hollywood, CA - Medicare Nurse Practitioner

Alfonso Cruz Manuel, is a medicare enrolled "Nurse Practitioner" in North Hollywood, California. His current practice location is 7653 Coldwater Canyon Ct, North Hollywood, California. You can reach out to his office (for appointments etc.) via phone at (818) 200-7062.

Alfonso Cruz Manuel is licensed to practice in California (license number 95005711) 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 1124563358.

Contact Information

	Alfonso Cruz Manuel,
	7653 Coldwater Canyon Ct, North Hollywood, CA 91605-2048
	(818) 200-7062
	Not Available

Map and Direction

Provider's Profile

Full Name	Alfonso Cruz Manuel
Gender	Male
Speciality	Nurse Practitioner
Location	7653 Coldwater Canyon Ct, North Hollywood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124563358
Provider Enumeration Date: 12/25/2016
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 5294099818
Enrollment ID: I20180508001391

Medical Identifiers

Medical identifiers for Alfonso Cruz Manuel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124563358	NPI	-	NPPES
95005711	Other	CA	NP FURNISHING NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95005711 (California)	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. Alfonso Cruz Manuel allows following entities to bill medicare on his 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

Entity Name	Tender Care Community Clinic, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134668304 PECOS PAC ID: 2264770932 Enrollment ID: O20190205003511

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. Alfonso Cruz Manuel 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
Alfonso Cruz Manuel, 7653 Coldwater Canyon Ct, North Hollywood, CA 91605-2048 Ph: (818) 200-7062	Alfonso Cruz Manuel, 7653 Coldwater Canyon Ct, North Hollywood, CA 91605-2048 Ph: (818) 200-7062

Reviews and Comments

Nurse Practitioner Nurses in North Hollywood, CA

Dr. Yekeen Adagbada Jr., Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11049 Magnolia Blvd Apt 302, North Hollywood, CA 91601 Phone: 773-412-8828
Hrachya Greg Grigoryan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6422 Whitsett Ave Apt 202, North Hollywood, CA 91606 Phone: 818-861-4708
Ms. Janetta Ellen Yanez, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6801 Coldwater Canyon Ave, North Hollywood, CA 91605 Phone: 818-763-8836
Victoria Vicky Ovakyan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6248 Satsuma Ave, North Hollywood, CA 91606 Phone: 818-282-8174
Harshdeep Singh Brar, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11130 Otsego St Apt 431, North Hollywood, CA 91601 Phone: 559-394-8987
Ani Kirakosyan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10628 Riverside Dr Ste 4, North Hollywood, CA 91602 Phone: 818-259-9412

Alfonso Cruz Manuel, - Medicare Nurse Practitioner in North Hollywood, CA