Ruby Nicole Tollison-truitt, DNAP is a medicare enrolled "Registered Nurse" physician in Fayetteville, Arkansas. Her current practice location is
3344 N Futrall Dr, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 439-6390.
Ruby Nicole Tollison-truitt is licensed to practice in Arkansas (license number R096697) 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 1538782537.
Physician's Profile
Full Name | Ruby Nicole Tollison-truitt |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 3344 N Futrall Dr, Fayetteville, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538782537
- Provider Enumeration Date: 05/26/2020
- Last Update Date: 01/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799141610
- Enrollment ID: I20240528001024
Medical Identifiers
Medical identifiers for Ruby Nicole Tollison-truitt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538782537 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 221498 (Arkansas) | Secondary |
163W00000X | Registered Nurse | R096697 (Arkansas) | 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. Ruby Nicole Tollison-truitt allows following entities to bill medicare on her behalf.
Entity Name | Gastro Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366700890 PECOS PAC ID: 3577727700 Enrollment ID: O20120619000424 |
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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. Ruby Nicole Tollison-truitt 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 |
Ruby Nicole Tollison-truitt, DNAP 6202 W Buckeye Dr, Rogers, AR 72758-6050 Ph: (903) 602-9916 | Ruby Nicole Tollison-truitt, DNAP 3344 N Futrall Dr, Fayetteville, AR 72703-4057 Ph: (479) 439-6390 |
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