Philip Ruddy, in South Pasadena, CA - Medicare Marriage & Family Therapist Provider

Philip Ruddy, is a medicare enrolled "Marriage & Family Therapist" provider in South Pasadena, California. His current practice location is 205 Pasadena Ave, South Pasadena, California. You can reach out to his office (for appointments etc.) via phone at (323) 344-5536.

Philip Ruddy is licensed to practice in California (license number LMFT107495) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699211185.

Contact Information

	Philip Ruddy,
	205 Pasadena Ave, South Pasadena, CA 91030
	(323) 344-5536
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Philip Ruddy
Gender	Male
Speciality	Marriage & Family Therapist
Location	205 Pasadena Ave, South Pasadena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699211185
Provider Enumeration Date: 01/09/2017
Last Update Date: 07/11/2018

Medicare PECOS Information:

PECOS PAC ID: 0244683423
Enrollment ID: I20240124003703

Medical Identifiers

Medical identifiers for Philip Ruddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699211185	NPI	-	NPPES
7667	Other	CA	MEDI-CAL
7184	Other	CA	MEDI-CAL
7368	Other	CA	MEDI-CAL
7708	Other	CA	MEDI-CAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	LMFT107495 (California)	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. Philip Ruddy allows following entities to bill medicare on his behalf.

Entity Name	Soultenders Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766

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. Philip Ruddy 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
Philip Ruddy, 205 Pasadena Ave, South Pasadena, CA 91030-2919 Ph: (323) 344-5536	Philip Ruddy, 205 Pasadena Ave, South Pasadena, CA 91030 Ph: (323) 344-5536

Reviews and Comments

Marriage & Family Therapist in South Pasadena, CA

Ms. Judy Lee Ingoldsby, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1910 Huntington Dr, South Pasadena, CA 91030 Phone: 626-441-2868 Fax: 626-441-6389
Mrs. Megan Lynn Murphy, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536
Qing Ye, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536
Ms. Erika Hirsch, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 625 Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 Phone: 626-831-4441
Mr. Mark Anthony Acuna, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536
Lindsey Schwartz, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536
Diane Orozco, MFT-I Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 149 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-274-3065

Philip Ruddy, - Medicare Couples Therapy in South Pasadena, CA