Mrs Glorymardy Cruz, FNP-BC in Kingston, PA - Medicare Nurse Practitioner

Mrs Glorymardy Cruz, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Kingston, Pennsylvania. Her current practice location is 511 Pierce St, Kingston, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 714-3333.

Mrs Glorymardy Cruz is licensed to practice in Pennsylvania (license number SP024256) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124786041.

Contact Information

	Mrs Glorymardy Cruz, FNP-BC
	511 Pierce St, Kingston, PA 18704-5731
	(570) 714-3333
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Glorymardy Cruz
Gender	Female
Speciality	Nurse Practitioner - Family
Location	511 Pierce St, Kingston, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124786041
Provider Enumeration Date: 12/08/2021
Last Update Date: 03/25/2024

Medicare PECOS Information:

PECOS PAC ID: 2466821715
Enrollment ID: I20221208003289

Medical Identifiers

Medical identifiers for Mrs Glorymardy Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124786041	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP024256 (Pennsylvania)	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. Mrs Glorymardy Cruz allows following entities to bill medicare on her behalf.

Entity Name	Medical Center Of Northeastern Pa Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063715639 PECOS PAC ID: 1951579762 Enrollment ID: O20110721000872

Entity Name	Ultra Care Urgent And Family Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205334729 PECOS PAC ID: 1951662063 Enrollment ID: O20180307000606

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. Mrs Glorymardy 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
Mrs Glorymardy Cruz, FNP-BC Po Box 1885, Kingston, PA 18704-0885 Ph: (570) 288-8881	Mrs Glorymardy Cruz, FNP-BC 511 Pierce St, Kingston, PA 18704-5731 Ph: (570) 714-3333

Reviews and Comments

Nurse Practitioner Nurses in Kingston, PA

Matthew Booth, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 480 Pierce St Ste 320, Kingston, PA 18704 Phone: 570-479-1627
Mr. Thomas Mickowski, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Pierce St, Kingston, PA 18704 Phone: 570-243-3300 Fax: 570-338-3993
Angela Luongo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 382 Pierce St, Kingston, PA 18704 Phone: 570-288-7231
Stephanie Grencavage, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 390 Pierce St, Kingston, PA 18704 Phone: 570-288-3535
Catherine Champi, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 Wyoming Ave, Suite 1, Kingston, PA 18704 Phone: 570-288-5441 Fax: 570-288-9613
Brenda Miller Tocket, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 79 S Gates Ave, Kingston, PA 18704 Phone: 570-406-7350

Mrs Glorymardy Cruz, FNP-BC - Medicare Nurse Practitioner in Kingston, PA