Heather J Ruccio, PA is a medicare enrolled "Physician Assistant - Medical" in Lebanon, Kentucky. Her current practice location is
305 Koehler Dr, Lebanon, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 402-8259.
Heather J Ruccio is licensed to practice in Kentucky (license number PA1054) 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 1396921219.
Provider's Profile
Full Name | Heather J Ruccio |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 305 Koehler Dr, Lebanon, Kentucky |
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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: 1396921219
- Provider Enumeration Date: 01/10/2008
- Last Update Date: 12/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 8820175649
- Enrollment ID: I20080403000370
Medical Identifiers
Medical identifiers for Heather J Ruccio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396921219 | NPI | - | NPPES |
7100035930 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA1054 (Kentucky) | Primary |
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. Heather J Ruccio 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 |
Heather J Ruccio, PA 305 Koehler Dr, Lebanon, KY 40033-9388 Ph: (270) 402-8559 | Heather J Ruccio, PA 305 Koehler Dr, Lebanon, KY 40033-9388 Ph: (270) 402-8259 |
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