Dylan Marie Ruby, LPC in Roswell, GA - Medicare Counselor Provider

Dylan Marie Ruby, LPC is a medicare enrolled "Counselor - Professional" provider in Roswell, Georgia. Her current practice location is 11111 Houze Rd Ste 225, Roswell, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 603-0123.

Dylan Marie Ruby is licensed to practice in Georgia (license number LPC011582) 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 1790060176.

Contact Information

	Dylan Marie Ruby, LPC
	11111 Houze Rd Ste 225, Roswell, GA 30076-5618
	(770) 603-0123
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dylan Marie Ruby
Gender	Female
Speciality	Counselor - Professional
Location	11111 Houze Rd Ste 225, Roswell, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790060176
Provider Enumeration Date: 10/17/2011
Last Update Date: 04/02/2023

Medicare PECOS Information:

PECOS PAC ID: 7214378793
Enrollment ID: I20240515001247

Medical Identifiers

Medical identifiers for Dylan Marie Ruby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790060176	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	LPC011582 (Georgia)	Secondary
101YP2500X	Counselor - Professional	LPC011582 (Georgia)	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. Dylan Marie Ruby allows following entities to bill medicare on her behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

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. Dylan Marie Ruby 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
Dylan Marie Ruby, LPC 8740 Roswell Rd Unit 7d, Sandy Springs, GA 30350-1839 Ph: (606) 709-0648	Dylan Marie Ruby, LPC 11111 Houze Rd Ste 225, Roswell, GA 30076-5618 Ph: (770) 603-0123

Reviews and Comments

Counselor in Roswell, GA

Mrs. Melissa Ragsdale Goodwin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Bombay Ln, Roswell, GA 30076 Phone: 770-262-2080 Fax: 770-754-4676
Mrs. Lori L Bryant, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 11285 Elkins Rd Ste D3, Roswell, GA 30076 Phone: 678-371-2849
Barbara Blake Brown, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Sloan St, Roswell, GA 30075 Phone: 770-595-8999 Fax: 678-226-9683
Mrs. Rachel A Fishman, M.A., LAPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Colonial Park Dr, Suite 102, Roswell, GA 30075 Phone: 678-534-3824
Kaitlyn Sampson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 570 Colonial Park Dr Ste 315, Roswell, GA 30075 Phone: 404-492-8187
Beverly Joi Matthews, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1014 Canton St, Roswell, GA 30075 Phone: 770-993-2676 Fax: 770-993-1118
Amanda S Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 290 Saddle Lake Dr, Roswell, GA 30076 Phone: 770-561-4585

Dylan Marie Ruby, LPC - Medicare Counselor in Roswell, GA