Ruby Godbolt, in Windsor Mill, MD - Medicare Nurse Practitioner

Ruby Godbolt, is a medicare enrolled "Nurse Practitioner - Gerontology" in Windsor Mill, Maryland. Her current practice location is 7001 Johnnycake Rd Ste 103, Windsor Mill, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 304-3232.

Ruby Godbolt is licensed to practice in Maryland (license number R109843) 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 1134573728.

Contact Information

	Ruby Godbolt,
	7001 Johnnycake Rd Ste 103, Windsor Mill, MD 21244-2419
	(410) 304-3232
	(410) 630-3853

Map and Direction

Provider's Profile

Full Name	Ruby Godbolt
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	7001 Johnnycake Rd Ste 103, Windsor Mill, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134573728
Provider Enumeration Date: 04/20/2016
Last Update Date: 04/26/2022

Medicare PECOS Information:

PECOS PAC ID: 0749573715
Enrollment ID: I20160728000665

Medical Identifiers

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

Identifier	Type	State	Issuer
1134573728	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R109843 (Maryland)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	R109843 (Maryland)	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 Godbolt allows following entities to bill medicare on her behalf.

Entity Name	Ms-hc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033177696 PECOS PAC ID: 0749172575 Enrollment ID: O20040326000859

Entity Name	Dr Jeffrey D. Gaber & Associates, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356488076 PECOS PAC ID: 5991748931 Enrollment ID: O20050609000949

Entity Name	Healthy Folks Medical Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528703527 PECOS PAC ID: 1052790656 Enrollment ID: O20220627003727

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 Godbolt 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 Godbolt, 7001 Johnnycake Rd Ste 103, Windsor Mill, MD 21244-2419 Ph: (410) 304-3232	Ruby Godbolt, 7001 Johnnycake Rd Ste 103, Windsor Mill, MD 21244-2419 Ph: (410) 304-3232

Reviews and Comments

Nurse Practitioner Nurses in Windsor Mill, MD

Dr. Modupe Togun, DNP, FNP-BC, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3110 N Rolling Rd, Windsor Mill, MD 21244 Phone: 410-298-1931 Fax: 410-298-1932
Mrs. Kristen L Broom, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 Security Blvd Ste 200, Windsor Mill, MD 21244 Phone: 410-837-2050
Janice Adams-king, CRNP -- FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7897 Galloping Cir, Windsor Mill, MD 21244 Phone: 443-473-3598 Fax: 410-298-0304
Juliet Kasozi, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8200 Kirk Farm Cir, Windsor Mill, MD 21244 Phone: 240-464-3276
Dr. Vanesha Vasian Goffe, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 Security Blvd Ste 200, Windsor Mill, MD 21244 Phone: 410-837-2050
Mr. Vincent Uchechukwu Alasoro, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3301 Kenjac Rd, Windsor Mill, MD 21244 Phone: 443-360-7900
Kyung H Yoo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6901 Security Blvd Ste 200, Windsor Mill, MD 21244 Phone: 410-837-2050

Ruby Godbolt, - Medicare Nurse Practitioner in Windsor Mill, MD