Herlinda Ruiz Cisneros, - Medicare Counselor in Reading, PA

Herlinda Ruiz Cisneros, is a medicare enrolled "Counselor - Professional" provider in Reading, Pennsylvania. Her current practice location is 125 S 5th St, Reading, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 685-2188.

Herlinda Ruiz Cisneros is licensed to practice in Pennsylvania (license number PC009505) 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 1568871267.

Contact Information

Herlinda Ruiz Cisneros,
125 S 5th St,
Reading, PA 19602-1662
(610) 685-2188
(610) 685-2183

Map and Direction


Healthcare Provider's Profile

Full NameHerlinda Ruiz Cisneros
GenderFemale
SpecialityCounselor - Professional
Location125 S 5th St, Reading, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568871267
  • Provider Enumeration Date: 08/06/2014
  • Last Update Date: 04/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7416328828
  • Enrollment ID: I20240325000588

Medical Identifiers

Medical identifiers for Herlinda Ruiz Cisneros such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568871267NPI-NPPES
1034254740001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional PC009505 (Pennsylvania)Primary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary

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. Herlinda Ruiz Cisneros allows following entities to bill medicare on her behalf.
Entity NamePennsylvania Counseling Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669474979
PECOS PAC ID: 1355331471
Enrollment ID: O20040512001114

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. Herlinda Ruiz Cisneros 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 AddressPractice Location Address
Herlinda Ruiz Cisneros,
200 N 7th St,
Lebanon, PA 17046-5040

Ph: (717) 272-5464
Herlinda Ruiz Cisneros,
125 S 5th St,
Reading, PA 19602-1662

Ph: (610) 685-2188

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.