Ashley Dawn Ruiz, | |
1215 Lawn Ave Ste 100, Elkhart, IN 46514-2493 | |
(574) 293-2893 | |
(574) 293-1298 |
Full Name | Ashley Dawn Ruiz |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1215 Lawn Ave Ste 100, Elkhart, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528822038 | NPI | - | NPPES |
300090105 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WX0003X | Registered Nurse - Obstetric, Inpatient | 28196367A (Indiana) | Secondary |
367A00000X | Advanced Practice Midwife | 09000463A (Indiana) | Primary |
Entity Name | Beacon Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
Mailing Address | Practice Location Address |
---|---|
Ashley Dawn Ruiz, 3245 Health Drive, Ste 100, Granger, IN 46530-2493 Ph: (574) 647-1840 | Ashley Dawn Ruiz, 1215 Lawn Ave Ste 100, Elkhart, IN 46514-2493 Ph: (574) 293-2893 |
Samantha Lynn Jester, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1215 Lawn Ave Ste 100, Elkhart, IN 46514 Phone: 574-293-2893 | |
Lora D Defreese, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1215 Lawn Ave Ste 100, Elkhart, IN 46514 Phone: 574-293-2893 Fax: 574-293-1298 | |
Tara Christine Jones, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1215 Lawn Ave, Ste 100, Elkhart, IN 46514 Phone: 574-293-2893 Fax: 574-335-0806 | |
Heather A. Hostetler, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1215 Lawn Ave, Ste 100, Elkhart, IN 46514 Phone: 574-293-2893 Fax: 574-293-1298 | |
Patricia Jo Chapman, C.N.M Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1215 Lawn Ave, Ste 100, Elkhart, IN 46514 Phone: 574-293-2893 Fax: 574-293-1298 | |
Ms. Karey J Hogue, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1215 Lawn Ave, Suite 100, Elkhart, IN 46514 Phone: 574-293-2893 Fax: 574-293-1298 | |
Ms. Amanda S. Winters, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1215 Lawn Ave, Suite 100, Elkhart, IN 46514 Phone: 574-293-2893 Fax: 574-293-1298 |