Mylene L Ruiz, APRN in San Diego, CA - Medicare Nurse Practitioner

Mylene L Ruiz, APRN is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. Her current practice location is 16745 W Bernardo Dr, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 592-2000.

Mylene L Ruiz is licensed to practice in California (license number 12054) 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 1154495869.

Contact Information

	Mylene L Ruiz, APRN
	16745 W Bernardo Dr, San Diego, CA 92127-1907
	(858) 592-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mylene L Ruiz
Gender	Female
Speciality	Nurse Practitioner - Family
Location	16745 W Bernardo Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154495869
Provider Enumeration Date: 11/17/2006
Last Update Date: 05/04/2022

Medicare PECOS Information:

PECOS PAC ID: 4587567714
Enrollment ID: I20140320001210

Medical Identifiers

Medical identifiers for Mylene L Ruiz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154495869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN42500 (Hawaii)	Secondary
363LF0000X	Nurse Practitioner - Family	516077 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN589 (Hawaii)	Secondary
363LF0000X	Nurse Practitioner - Family	12054 (California)	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. Mylene L Ruiz allows following entities to bill medicare on her behalf.

Entity Name	Seasons Medical Group Of California Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790239473 PECOS PAC ID: 9234405952 Enrollment ID: O20171025001421

Entity Name	Salus Home Health And Hospice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659543957 PECOS PAC ID: 3971680398 Enrollment ID: O20191226001747

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. Mylene L 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
Mylene L Ruiz, APRN 6400 Shafer Ct Ste 700, Rosemont, IL 60018-4989 Ph: (346) 376-1702	Mylene L Ruiz, APRN 16745 W Bernardo Dr, San Diego, CA 92127-1907 Ph: (858) 592-2000

Reviews and Comments

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Mylene L Ruiz, APRN - Medicare Nurse Practitioner in San Diego, CA