Ruth A Rustad, MD is a medicare enrolled "Dermatology" physician in White Bear Lake, Minnesota. She went to University Of Minnesota Medical School and graduated in 1994 and has 30 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Advanced Dermatology Care Medical Cosmetic And Surgery Pa and her current practice location is
4480 Centerville Rd, White Bear Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 484-2724.
Ruth A Rustad is licensed to practice in Minnesota (license number 38316) 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 1689631038.
Physician's Profile
| Full Name | Ruth A Rustad |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 30 Years |
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| Location | 4480 Centerville Rd, White Bear Lake, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ruth A Rustad attended and graduated from University Of Minnesota Medical School in 1994
NPI Data:
- NPI Number: 1689631038
- Provider Enumeration Date: 04/28/2006
- Last Update Date: 08/01/2012
Medicare PECOS Information:
- PECOS PAC ID: 0042201964
- Enrollment ID: I20040520000119
Medical Identifiers
Medical identifiers for Ruth A Rustad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689631038 | NPI | - | NPPES |
| 110202652 | Other | MN | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 38316 (Minnesota) | Secondary |
| 207N00000X | Dermatology | 38316 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Advanced Dermatology Care Medical Cosmetic And Surgery Pa | 4385633767 | 7 |
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. Ruth A Rustad allows following entities to bill medicare on her behalf.
| Entity Name | Advanced Dermatology Care Medical Cosmetic And Surgery Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073614558
PECOS PAC ID: 4385633767
Enrollment ID: O20040511000150 |
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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. Ruth A Rustad 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 |
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Ruth A Rustad, MD
4480 Centerville Rd,
White Bear Lake, MN 55127-3674
Ph: (651) 484-2724 | Ruth A Rustad, MD
4480 Centerville Rd,
White Bear Lake, MN 55127-3674
Ph: (651) 484-2724 |
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