Mrs Mary Ruth Gorniak, CNM, FNP - Medicare Certified Nurse Midwife (cnm) in Dayton, OH

Mrs Mary Ruth Gorniak, CNM, FNP is a medicare enrolled "Advanced Practice Midwife" in Dayton, Ohio. She went to Wright State University Boonshoft School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Five Rivers Health Centers and her current practice location is 1 Wyoming St, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 208-2007.

Mrs Mary Ruth Gorniak is licensed to practice in Ohio (license number NM-00661) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699817874.

Contact Information

Mrs Mary Ruth Gorniak, CNM, FNP
1 Wyoming St,
Dayton, OH 45409-2722
(937) 208-2007
Not Available

Map and Direction




Provider's Profile

Full NameMrs Mary Ruth Gorniak
GenderFemale
SpecialityCertified Nurse Midwife (cnm)
Experience28 Years
Location1 Wyoming St, Dayton, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Mary Ruth Gorniak attended and graduated from Wright State University Boonshoft School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1699817874
  • Provider Enumeration Date: 02/13/2007
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557585387
  • Enrollment ID: I20140617000994

Medical Identifiers

Medical identifiers for Mrs Mary Ruth Gorniak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699817874NPI-NPPES
2190650MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP-00786 (Ohio)Primary
367A00000XAdvanced Practice Midwife NM-00661 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Five Rivers Health Centers933530090439

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 Mary Ruth Gorniak allows following entities to bill medicare on her behalf.
Entity NameFive Rivers Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104115823
PECOS PAC ID: 9335300904
Enrollment ID: O20120409000638

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 Mary Ruth Gorniak 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 AddressPractice Location Address
Mrs Mary Ruth Gorniak, CNM, FNP
624 Southern Belle Blvd,
Beavercreek, OH 45434-6200

Ph: (937) 426-8122
Mrs Mary Ruth Gorniak, CNM, FNP
1 Wyoming St,
Dayton, OH 45409-2722

Ph: (937) 208-2007

Reviews and Comments


Advanced Practice Midwife Nurses in Dayton, OH

Carla Renee King, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 9000 N Main St, Suite 232, Dayton, OH 45415
Phone: 937-277-8988    Fax: 937-277-9035
Jalana N Lazar, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 9000 N Main St, Suite 234, Dayton, OH 45415
Phone: 937-277-8988    Fax: 937-832-2421
Donna M Gau-jata, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1 Wyoming St, Dayton, OH 45409
Phone: 937-208-2007    
Deborah Jean Ruxer, RN, MS, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 2222 Philadelphia Dr, Good Samaritan Hospital, The Family Birthing Center, Dayton, OH 45406
Phone: 937-278-2612    Fax: 937-223-9735
Mrs. Kimberly J Breneman, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 9000 N Main St, Suite 234, Dayton, OH 45415
Phone: 937-277-8988    Fax: 937-832-2421
Dr. Shenika Ashley Zarebski, DO
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 30 E Apple St Ste 6258, Dayton, OH 45409
Phone: 937-208-8000    
Susan L Kloth, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 9000 N Main St, Suite 232, Dayton, OH 45415
Phone: 937-277-8988    Fax: 937-277-9035

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.