Ellen Ruby, LCSW, CASAC is a medicare enrolled "Social Worker - Clinical" provider in Sag Harbor, New York. Her current practice location is
26 Club Ln, Sag Harbor, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 725-1769.
Ellen Ruby is licensed to practice in New York (license number R-028959-1) 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 1164720306.
Healthcare Provider's Profile
| Full Name | Ellen Ruby |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 26 Club Ln, Sag Harbor, New York |
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| Accepts Medicare Assignments | Yes. She 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:
- Ellen Ruby attended and graduated from in
NPI Data:
- NPI Number: 1164720306
- Provider Enumeration Date: 03/12/2011
- Last Update Date: 03/12/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ellen Ruby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164720306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CASAC2385 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | R-028959-1 (New York) | Primary |
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. Ellen 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 |
|---|
Ellen Ruby, LCSW, CASAC
26 Club Ln,
Sag Harbor, NY 11963-2112
Ph: (631) 725-1769 | Ellen Ruby, LCSW, CASAC
26 Club Ln,
Sag Harbor, NY 11963-2112
Ph: (631) 725-1769 |
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