Mrs Samantha A Ruder, FNP-BC in El Segundo, CA

Mrs Samantha A Ruder, FNP-BC is a medicare enrolled "Nurse Practitioner" in El Segundo, California. Her current practice location is 222 N Pacific Coast Hwy Ste 2175, El Segundo, California. You can reach out to her office (for appointments etc.) via phone at (877) 878-3289.

Mrs Samantha A Ruder is licensed to practice in Texas (license number 1161910) 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 1356099691.

Contact Information

	Mrs Samantha A Ruder, FNP-BC
	222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245-5639
	(877) 878-3289
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Samantha A Ruder
Gender	Female
Speciality	Nurse Practitioner
Location	222 N Pacific Coast Hwy Ste 2175, El Segundo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356099691
Provider Enumeration Date: 03/15/2022
Last Update Date: 09/16/2024

Medicare PECOS Information:

PECOS PAC ID: 7416489315
Enrollment ID: I20241016004550

Medical Identifiers

Medical identifiers for Mrs Samantha A Ruder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356099691	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	GAA-NP00065 (Georgia)	Secondary
363L00000X	Nurse Practitioner	1161910 (Texas)	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 Samantha A Ruder allows following entities to bill medicare on her behalf.

Entity Name	Robert Marriott Medical Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083883938 PECOS PAC ID: 2567531494 Enrollment ID: O20090518000379

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 Samantha A Ruder 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 Samantha A Ruder, FNP-BC 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245-5639 Ph: (877) 878-3289	Mrs Samantha A Ruder, FNP-BC 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245-5639 Ph: (877) 878-3289

Reviews and Comments

Nurse Practitioner Nurses in El Segundo, CA

Kenn Rafanan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671
Megan Puyau, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 N Pacific Coast Hwy Ste 2060, El Segundo, CA 90245 Phone: 855-427-2778 Fax: 424-277-6085
Rachel Spata, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 424-290-8004
Young Shin, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671
Rodel Lumanog, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671
Taylor Cwiertniewicz, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671
Victoria Desimone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245 Phone: 877-878-3289

Mrs Samantha A Ruder, FNP-BC - Medicare Nurse Practitioner in El Segundo, CA