Dr Paetra Jane Ruddy, MD in Poulsbo, WA

Dr Paetra Jane Ruddy, MD is a medicare enrolled "Dermatology" physician in Poulsbo, Washington. She went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Silver Falls Dermatology Llc and her current practice location is 19917 7th Ave Ne Ste 203, Poulsbo, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 824-5474.

Dr Paetra Jane Ruddy is licensed to practice in Washington (license number MD61231855) 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 1366738874.

Contact Information

	Dr Paetra Jane Ruddy, MD
	19917 7th Ave Ne Ste 203, Poulsbo, WA 98370-6555
	(360) 824-5474
	(360) 994-4975

Map and Direction

Physician's Profile

Full Name	Dr Paetra Jane Ruddy
Gender	Female
Speciality	Dermatology
Experience	13 Years
Location	19917 7th Ave Ne Ste 203, Poulsbo, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Paetra Jane Ruddy attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2011

NPI Data:

NPI Number: 1366738874
Provider Enumeration Date: 06/22/2011
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 0648409268
Enrollment ID: I20220523000752

Medical Identifiers

Medical identifiers for Dr Paetra Jane Ruddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366738874	NPI	-	NPPES
200024055	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	2015026116 (Missouri)	Secondary
207N00000X	Dermatology	MD61231855 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Harrison Medical Center	Bremerton, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Silver Falls Dermatology Llc	5890863492	81

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. Dr Paetra Jane Ruddy allows following entities to bill medicare on her behalf.

Entity Name	Silver Falls Dermatology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134375421 PECOS PAC ID: 5890863492 Enrollment ID: O20140328000678

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. Dr Paetra Jane 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
Dr Paetra Jane Ruddy, MD 1793 13th St Se, Salem, OR 97302-2541 Ph: (503) 362-8385	Dr Paetra Jane Ruddy, MD 19917 7th Ave Ne Ste 203, Poulsbo, WA 98370-6555 Ph: (360) 824-5474

Reviews and Comments

Dermatology Doctors in Poulsbo, WA

William J Delgado, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 19917 7th Ave Ne Ste 203, Poulsbo, WA 98370 Phone: 360-824-5474 Fax: 360-994-4975
Dianne R. Levisohn, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 19917 7th Ave Ne, Ste 203, Poulsbo, WA 98370 Phone: 360-824-5474 Fax: 360-326-2451
Dr. Andrea Dawn Smith, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 21800 Market Pl Nw Ste 103, Poulsbo, WA 98370 Phone: 360-291-5700 Fax: 360-637-0863
Simone A Ince, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 19917 7th Ave Ne, Ste 203, Poulsbo, WA 98370 Phone: 360-824-5474 Fax: 360-326-2451
Dr. Ronald William Reinhart, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 19365 7th Avenue Ne, Suite 102, Poulsbo, WA 98370 Phone: 360-779-5556 Fax: 360-697-2514
Lynn Susanne Sudduth, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 19245 7th Ave Ne, Poulsbo, WA 98370 Phone: 360-782-3500

Dr Paetra Jane Ruddy, MD - Medicare Dermatology in Poulsbo, WA