Mr Carlice Cecil Ruttan Ii, LCSW in Watertown, NY - Medicare Clinical Social Worker Provider

Mr Carlice Cecil Ruttan Ii, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Watertown, New York. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice North Country Transitional Living Services Inc and his current practice location is 165 Coleman Ave, Watertown, New York. You can reach out to his office (for appointments etc.) via phone at (315) 782-2061.

Mr Carlice Cecil Ruttan Ii is licensed to practice in New York (license number 079048-1) 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 1740540129.

Contact Information

	Mr Carlice Cecil Ruttan Ii, LCSW
	165 Coleman Ave, Watertown, NY 13601-2217
	(315) 782-2061
	(315) 788-1529

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Carlice Cecil Ruttan Ii
Gender	Male
Speciality	Clinical Social Worker
Experience	29 Years
Location	165 Coleman Ave, Watertown, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Carlice Cecil Ruttan Ii graduated from medical school in 1995

NPI Data:

NPI Number: 1740540129
Provider Enumeration Date: 05/21/2012
Last Update Date: 05/21/2012

Medicare PECOS Information:

PECOS PAC ID: 4880952563
Enrollment ID: I20180102000483

Medical Identifiers

Medical identifiers for Mr Carlice Cecil Ruttan Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740540129	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	079048-1 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Country Transitional Living Services Inc	2466618749	8

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. Mr Carlice Cecil Ruttan Ii allows following entities to bill medicare on his behalf.

Entity Name	North Country Transitional Living Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538294699 PECOS PAC ID: 2466618749 Enrollment ID: O20120801000327

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 Carlice Cecil Ruttan Ii 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 Carlice Cecil Ruttan Ii, LCSW 165 Coleman Ave, Watertown, NY 13601-2217 Ph: (315) 782-2061	Mr Carlice Cecil Ruttan Ii, LCSW 165 Coleman Ave, Watertown, NY 13601-2217 Ph: (315) 782-2061

Reviews and Comments

Social Worker in Watertown, NY

Erica Marie Freeman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 238 Arsenal St, Watertown, NY 13601 Phone: 315-782-9450
Mrs. Erin Marie Cooney, LCSW - R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 171 E Hoard St, North Elementary - Childrens Clinic, Watertown, NY 13601 Phone: 315-786-1767 Fax: 315-786-1856
Matthew James Horrocks, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 State Street, Watertown, NY 13601 Phone: 315-755-1251 Fax: 315-291-6601
Peggi-lynn Harrington, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1222 Arsenal St, Watertown, NY 13601 Phone: 315-425-4400
Heather Mcmanaman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 25706 Hinds Rd, Watertown, NY 13601 Phone: 315-782-5191
Shawna Stone, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 211 J.b. Wise Plaza, Watertown, NY 13601 Phone: 315-782-7445 Fax: 315-779-1184
Naomi Garcia Henriquez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 J B Wise Pl, Watertown, NY 13601 Phone: 315-782-7445

Mr Carlice Cecil Ruttan Ii, LCSW - Medicare Clinical Social Worker in Watertown, NY