Ms Andrea Ruiz, NP is a medicare enrolled "Family Medicine - Adult Medicine" in Hackensack, New Jersey. Her current practice location is
92 Summit Ave, Hackensack, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 342-0066.
Ms Andrea Ruiz is licensed to practice in New Jersey (license number 26NJ01401700) 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 1598197212.
Provider's Profile
| Full Name | Ms Andrea Ruiz |
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| Gender | Female |
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| Speciality | Family Medicine - Adult Medicine |
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| Location | 92 Summit Ave, Hackensack, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598197212
- Provider Enumeration Date: 08/05/2013
- Last Update Date: 12/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496111718
- Enrollment ID: I20230511002179
Medical Identifiers
Medical identifiers for Ms Andrea Ruiz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598197212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | F350577 (New York) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | 26NJ01401700 (New Jersey) | Primary |
| 163W00000X | Registered Nurse | 671597 (New York) | Secondary |
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. Ms Andrea Ruiz allows following entities to bill medicare on her behalf.
| Entity Name | Excelcare Medical Associates Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992736300
PECOS PAC ID: 4284647868
Enrollment ID: O20060727000044 |
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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. Ms Andrea Ruiz 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 |
|---|
Ms Andrea Ruiz, NP
92 Summit Ave,
Hackensack, NJ 07601-1263
Ph: (201) 342-0066 | Ms Andrea Ruiz, NP
92 Summit Ave,
Hackensack, NJ 07601-1263
Ph: (201) 342-0066 |
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