Mrs Theresa Renee Rucker, PA in Viera, FL - Medicare Physician Assistant

Mrs Theresa Renee Rucker, PA is a medicare enrolled "Physician Assistant - Medical" in Viera, Florida. Her current practice location is 2900 Veterans Way, Viera, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 637-3788.

Mrs Theresa Renee Rucker is licensed to practice in Florida (license number 2203) 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 1356391882.

Contact Information

	Mrs Theresa Renee Rucker, PA
	2900 Veterans Way, Viera, FL 32940-8007
	(321) 637-3788
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Theresa Renee Rucker
Gender	Female
Speciality	Physician Assistant - Medical
Location	2900 Veterans Way, Viera, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356391882
Provider Enumeration Date: 05/12/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7719113786
Enrollment ID: I20131121000707

Medical Identifiers

Medical identifiers for Mrs Theresa Renee Rucker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356391882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	2203 (Florida)	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. Mrs Theresa Renee Rucker 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 Theresa Renee Rucker, PA 1291 Harbor Town Cir, Melbourne, FL 32940-1912 Ph: (321) 757-0409	Mrs Theresa Renee Rucker, PA 2900 Veterans Way, Viera, FL 32940-8007 Ph: (321) 637-3788

Reviews and Comments

Physician Assistant Nurses in Viera, FL

Mrs. Jan M Mccaleb, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Veterans Way, Viera, FL 32940 Phone: 321-637-3571
Mr. Hissam A Zeidan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2900 Veterans Way, Viera, FL 32940 Phone: 321-637-3788
Mr. Renato Walmor Roza, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Veterans Way, Viera, FL 32940 Phone: 321-637-3625 Fax: 321-637-3619
Shivani Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7125 Murrell Rd Ste A, Viera, FL 32940 Phone: 321-574-9171 Fax: 321-751-9362
Mr. Michael Anthony Dimaria, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2900 Veterans Way, Viera, FL 32940 Phone: 321-637-3788 Fax: 321-637-3507
Mrs. Carol D Russell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Space Coast Volunteers In Medicine, 2555 Judge Fran Jamieson Way, Viera, FL 32940 Phone: 321-639-5813 Fax: 321-637-7312
Mr. Jonathan David Jones, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Veterans Way, Viera, FL 32940 Phone: 321-637-3788

Mrs Theresa Renee Rucker, PA - Medicare Physician Assistant in Viera, FL