Ruth S Forde, MD is a medicare enrolled "Family Medicine" physician in Represa, California. Her current practice location is
300 Prison Rd, Represa, California. You can reach out to her office (for appointments etc.) via phone at
(916) 985-2561.
Ruth S Forde is licensed to practice in California (license number C176513) 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 1598932345.
Physician's Profile
Full Name | Ruth S Forde |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 300 Prison Rd, Represa, California |
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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: 1598932345
- Provider Enumeration Date: 05/12/2008
- Last Update Date: 08/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981887734
- Enrollment ID: I20140214000191
Medical Identifiers
Medical identifiers for Ruth S Forde such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598932345 | NPI | - | NPPES |
20638 | Other | MN | RESIDENT PERMIT |
58356 | Other | AZ | MEDICAL LICENSE |
C176513 | Other | CA | PHYSICIAN AND SURGEON LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 53563 (Minnesota) | Secondary |
207Q00000X | Family Medicine | 58356 (Arizona) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | C176513 (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. Ruth S Forde allows following entities to bill medicare on her behalf.
Entity Name | Texas Tech University Health Sciences Center El Paso |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598705055 PECOS PAC ID: 7517864754 Enrollment ID: O20031216000806 |
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Entity Name | Vpa Of Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702 |
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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 S Forde 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 |
Ruth S Forde, MD 17880 Applegate Rd # 376, Applegate, CA 95703-9759 Ph: (956) 607-4880 | Ruth S Forde, MD 300 Prison Rd, Represa, CA 95671-3001 Ph: (916) 985-2561 |
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