Dr Lesley Anne Cruz Portugal, MD - Medicare Hospitalist in Moscow, ID

Dr Lesley Anne Cruz Portugal, MD is a medicare enrolled "Hospitalist" physician in Moscow, Idaho. She went to Rutgers, Robert Woood Johnson Medical School and graduated in 2015 and has 9 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Queens University Medical Group and her current practice location is 700 S Main St, Moscow, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 882-4511.

Dr Lesley Anne Cruz Portugal is licensed to practice in Washington (license number MD60915046) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023498532.

Contact Information

Dr Lesley Anne Cruz Portugal, MD
700 S Main St,
Moscow, ID 83843-3046
(208) 882-4511
Not Available



Physician's Profile

Full NameDr Lesley Anne Cruz Portugal
GenderFemale
SpecialityHospitalist
Experience9 Years
Location700 S Main St, Moscow, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lesley Anne Cruz Portugal attended and graduated from Rutgers, Robert Woood Johnson Medical School in 2015
  NPI Data:
  • NPI Number: 1023498532
  • Provider Enumeration Date: 06/01/2015
  • Last Update Date: 03/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7012267057
  • Enrollment ID: I20231003002419

Medical Identifiers

Medical identifiers for Dr Lesley Anne Cruz Portugal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023498532NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine M-14838 (Idaho)Secondary
207R00000XInternal Medicine MD60915046 (Washington)Secondary
208M00000XHospitalist MD60915046 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Queens Medical CenterHonolulu, HIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Queens University Medical Group2466831557543

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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. Dr Lesley Anne Cruz Portugal allows following entities to bill medicare on her behalf.
Entity NameQueens University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891441382
PECOS PAC ID: 2466831557
Enrollment ID: O20220621000534

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Medicare Part D Prescriber Enrollment

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Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lesley Anne Cruz Portugal, MD
700 S Main St,
Moscow, ID 83843-3046

Ph: (208) 882-4511
Dr Lesley Anne Cruz Portugal, MD
700 S Main St,
Moscow, ID 83843-3046

Ph: (208) 882-4511

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Hospitalist Doctors in Moscow, ID


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