Mr Ian Lloyd Ruiz Baccay, RN in Fort Mohave, AZ

Mr Ian Lloyd Ruiz Baccay, RN is a medicare enrolled "Nurse Practitioner" in Fort Mohave, Arizona. His current practice location is 5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 704-6400.

Mr Ian Lloyd Ruiz Baccay is licensed to practice in Arizona (license number 295726) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093496069.

Contact Information

	Mr Ian Lloyd Ruiz Baccay, RN
	5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, AZ 86426-9223
	(928) 704-6400
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Ian Lloyd Ruiz Baccay
Gender	Male
Speciality	Nurse Practitioner
Location	5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093496069
Provider Enumeration Date: 07/31/2023
Last Update Date: 05/02/2024

Medicare PECOS Information:

PECOS PAC ID: 7315300993
Enrollment ID: I20230830000577

Medical Identifiers

Medical identifiers for Mr Ian Lloyd Ruiz Baccay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093496069	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	295726 (Arizona)	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. Mr Ian Lloyd Ruiz Baccay allows following entities to bill medicare on his behalf.

Entity Name	Bullhead City Clinic Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962429878 PECOS PAC ID: 1052317575 Enrollment ID: O20061005000614

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. Mr Ian Lloyd Ruiz Baccay 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
Mr Ian Lloyd Ruiz Baccay, RN 4425 S Bernard Pl, Fort Mohave, AZ 86426-5388 Ph: (928) 299-1268	Mr Ian Lloyd Ruiz Baccay, RN 5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, AZ 86426-9223 Ph: (928) 704-6400

Reviews and Comments

Nurse Practitioner Nurses in Fort Mohave, AZ

Dilyara Cannon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426 Phone: 928-768-2558 Fax: 928-768-2874
Kristen Peddycord, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-2273
Deborah Ann Hughson, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5263 Hwy 95, Fort Mohave, AZ 86426 Phone: 928-704-6400 Fax: 928-768-1150
Theresa Marin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 E Joy Ln, Fort Mohave, AZ 86426 Phone: 928-788-8000
Mr. Larry Lee Bousquet Ii, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 E Joy Ln # 1, Fort Mohave, AZ 86426 Phone: 928-768-9496 Fax: 928-768-1943
Annie Marie Rodman, MSN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1510 E Wagon Wheel Ln, Suite 106, Fort Mohave, AZ 86426 Phone: 928-788-9378 Fax: 928-788-9381

Mr Ian Lloyd Ruiz Baccay, RN - Medicare Nurse Practitioner in Fort Mohave, AZ