Mr Edilberto De La Cruz, PA is a medicare enrolled "Anesthesiologist Assistant" in Baltimore, Maryland. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Johns Hopkins University and his current practice location is
600 N Wolfe St, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 652-2707.
Mr Edilberto De La Cruz is licensed to practice in Maryland (license number C02961) 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 1245276278.
Provider's Profile
| Full Name | Mr Edilberto De La Cruz |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 20 Years |
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| Location | 600 N Wolfe St, Baltimore, Maryland |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Edilberto De La Cruz graduated from nursing school in 2004
NPI Data:
- NPI Number: 1245276278
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 06/01/2011
Medicare PECOS Information:
- PECOS PAC ID: 1254343809
- Enrollment ID: I20070222000470
Medical Identifiers
Medical identifiers for Mr Edilberto De La Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245276278 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 367H00000X | Anesthesiologist Assistant | C02961 (Maryland) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Johns Hopkins University | 8921903147 | 2656 |
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. Mr Edilberto De La 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 |
|---|
Mr Edilberto De La Cruz, PA
Po Box 64382,
Baltimore, MD 21264-4382
Ph: (410) 550-8432 | Mr Edilberto De La Cruz, PA
600 N Wolfe St,
Baltimore, MD 21287-0005
Ph: (301) 652-2707 |
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