Ms Shannon Alexander Ruth, PA is a
Physician Assistant - Medical based in Luling, Texas. Ms Shannon Alexander Ruth is licensed to practice in Texas (license number PA05863) and her current practice location is
130 Hays St, Suite D, Luling, Texas. She can be reached at her office (for appointments etc.) via phone at
(830) 875-3445.
NPI number for Ms Shannon Alexander Ruth is 1720250087 and her current mailing address is 130 Hays St, Suite D, Luling, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720250087.
Provider's Profile
| Full Name | Ms Shannon Alexander Ruth |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant - Medical |
|---|
| Location | 130 Hays St, Luling, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720250087
- Provider Enumeration Date: 03/27/2008
- Last Update Date: 11/08/2012
Medical Identifiers
Medical identifiers for Ms Shannon Alexander Ruth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720250087 | NPI | - | NPPES |
| 280084902 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PA05863 (Texas) | 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. Ms Shannon Alexander Ruth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Shannon Alexander Ruth, PA
130 Hays St, Suite D,
Luling, TX 78648-3207
Ph: (830) 875-3445 | Ms Shannon Alexander Ruth, PA
130 Hays St, Suite D,
Luling, TX 78648-3207
Ph: (830) 875-3445 |
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