Ruby Agena Herrera, RN in Calhoun, GA - Medicare Nurse Practitioner

Ruby Agena Herrera, RN is a medicare enrolled "Nurse Practitioner - Gerontology" in Calhoun, Georgia. Her current practice location is 205 Cornwell Way, Calhoun, Georgia. You can reach out to her office (for appointments etc.) via phone at (786) 715-3164.

Ruby Agena Herrera is licensed to practice in Georgia (license number GAA-NP000197) 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 1699936690.

Contact Information

	Ruby Agena Herrera, RN
	205 Cornwell Way, Calhoun, GA 30701-2127
	(786) 715-3164
	Not Available

Map and Direction

Provider's Profile

Full Name	Ruby Agena Herrera
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	205 Cornwell Way, Calhoun, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699936690
Provider Enumeration Date: 06/23/2008
Last Update Date: 06/12/2024

Medicare PECOS Information:

PECOS PAC ID: 6709280688
Enrollment ID: I20220714003570

Medical Identifiers

Medical identifiers for Ruby Agena Herrera such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699936690	NPI	-	NPPES
584777-1	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN9334721 (Florida)	Secondary
163W00000X	Registered Nurse	584777-1 (New York)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	11009073 (Florida)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	GAA-NP000197 (Georgia)	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. Ruby Agena Herrera allows following entities to bill medicare on her behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

Entity Name	24 On Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912956251 PECOS PAC ID: 5698688141 Enrollment ID: O20031216000444

Entity Name	Tapestry Hospice Of Northwest Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952686768 PECOS PAC ID: 5698937589 Enrollment ID: O20191211001733

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. Ruby Agena Herrera 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
Ruby Agena Herrera, RN 205 Cornwell Way, Calhoun, GA 30701-2127 Ph: (786) 715-3164	Ruby Agena Herrera, RN 205 Cornwell Way, Calhoun, GA 30701-2127 Ph: (786) 715-3164

Reviews and Comments

Nurse Practitioner Nurses in Calhoun, GA

Erin Madden, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1280 Mauldin Rd Nw, Calhoun, GA 30701 Phone: 706-625-0044
Mrs. Margaret Kaye Elizabeth Ralston, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Timms Rd Ne, Calhoun, GA 30701 Phone: 706-625-0022
Jeremy Seth Baker, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Hospital Ct, Calhoun, GA 30701 Phone: 706-602-8200 Fax: 706-602-1354
Lee-anne Choudree, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 Hospital Dr, Calhoun, GA 30701 Phone: 706-624-5041
Tiffany Star Kelley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Hospital Dr, Calhoun, GA 30701 Phone: 706-625-0333 Fax: 706-625-1269
Sharon Michelle Holbrook, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 310 N River St Nw, Calhoun, GA 30701 Phone: 706-624-1444 Fax: 706-624-1471
Nancy Clardy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1035 Red Bud Rd Ne, Calhoun, GA 30701 Phone: 706-879-4776 Fax: 706-879-4781

Ruby Agena Herrera, RN - Medicare Nurse Practitioner in Calhoun, GA