Mrs Kristine Lee Rutt, PNP in Mesa, AZ - Medicare Nurse Practitioner

Mrs Kristine Lee Rutt, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Mesa, Arizona. Her current practice location is 1432 S Dobson Rd, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 689-8685.

Mrs Kristine Lee Rutt is licensed to practice in Arizona (license number RN069290) 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 1134328693.

Contact Information

	Mrs Kristine Lee Rutt, PNP
	1432 S Dobson Rd, Mesa, AZ 85202-4768
	(602) 689-8685
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kristine Lee Rutt
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1432 S Dobson Rd, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134328693
Provider Enumeration Date: 07/15/2007
Last Update Date: 01/22/2015

Medicare PECOS Information:

PECOS PAC ID: 6901995372
Enrollment ID: I20071207000749

Medical Identifiers

Medical identifiers for Mrs Kristine Lee Rutt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134328693	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	RN069290 (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. Mrs Kristine Lee Rutt allows following entities to bill medicare on her behalf.

Entity Name	Banner Physician Super Specialists Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841573870 PECOS PAC ID: 7911173794 Enrollment ID: O20111228000353

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. Mrs Kristine Lee Rutt 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
Mrs Kristine Lee Rutt, PNP 16844 S Higley Rd, Gilbert, AZ 85295-2101 Ph: (602) 689-8685	Mrs Kristine Lee Rutt, PNP 1432 S Dobson Rd, Mesa, AZ 85202-4768 Ph: (602) 689-8685

Reviews and Comments

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Mrs Kristine Lee Rutt, PNP - Medicare Nurse Practitioner in Mesa, AZ