James A Ruvalcaba, MD - Medicare Psychiatry & Neurology in Mequon, WI

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James A Ruvalcaba, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Mequon, Wisconsin. His current practice location is 14205 N Pine Bluff Rd, Mequon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 477-8571.

James A Ruvalcaba is licensed to practice in Wisconsin (license number 67904) 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 1518340728.

Contact Information

James A Ruvalcaba, MD
14205 N Pine Bluff Rd,
Mequon, WI 53097-1430
(414) 477-8571
Not Available

Map and Direction




Physician's Profile

Full NameJames A Ruvalcaba
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location14205 N Pine Bluff Rd, Mequon, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518340728
  • Provider Enumeration Date: 07/07/2015
  • Last Update Date: 09/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597054197
  • Enrollment ID: I20240125004712

Medical Identifiers

Medical identifiers for James A Ruvalcaba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518340728NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 263521 (Massachusetts)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 67904 (Wisconsin)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. James A Ruvalcaba allows following entities to bill medicare on his behalf.
Entity NameMulticare Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497766638
PECOS PAC ID: 7719899897
Enrollment ID: O20031105000760
Entity NameNavos
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194728105
PECOS PAC ID: 4385545474
Enrollment ID: O20040120001086
Entity NameGreater Lakes Mental Health Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225039811
PECOS PAC ID: 7315836350
Enrollment ID: O20040315001162

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. James A Ruvalcaba 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
James A Ruvalcaba, MD
14205 N Pine Bluff Rd,
Mequon, WI 53097-1430

Ph: (414) 477-8571		James A Ruvalcaba, MD
14205 N Pine Bluff Rd,
Mequon, WI 53097-1430

Ph: (414) 477-8571

Reviews and Comments


Psychiatry & Neurology Doctors in Mequon, WI

Dr. Laurens D. Young, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 11514 N Port Washington Rd, Suite 4, Mequon, WI 53092
Phone: 262-241-7025    
Dr. Wess R Vogt, M.D.
Psychiatry & Neurology
Medicare: May Accept Medicare Assignments
Practice Location: 1035 W Glen Oaks Ln, Suite 204, Mequon, WI 53092
Phone: 262-512-9400    
Dr. Donna J Brehm, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1035 W Glen Oaks Ln, Suite 204, Mequon, WI 53092
Phone: 262-512-9400    
Dr. Jeffrey E Taxman, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 11501 N Port Washington Rd, G30, Mequon, WI 53092
Phone: 262-241-8100    Fax: 262-241-8200
Guy R Lord, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1035 W Glen Oaks Ln, Suite 204, Mequon, WI 53092
Phone: 262-512-9400    
Julia Hinkle Penn, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1045 W Glen Oaks Ln, Suite 1, Mequon, WI 53092
Phone: 262-241-4664    Fax: 262-241-1012
Dr. John Scott Broderick, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 13133 N Port Washington Rd, Suite G06, Mequon, WI 53097
Phone: 262-243-8371    Fax: 262-243-8342

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.