Ruth K Dominguez Enriquez, PA in Glen Ridge, NJ

Ruth K Dominguez Enriquez, PA is a medicare enrolled "Physician Assistant" in Glen Ridge, New Jersey. Her current practice location is 200 Highland Ave Ste 100b, Glen Ridge, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 969-3800.

Ruth K Dominguez Enriquez is licensed to practice in New Jersey (license number 25MP00766000) 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 1598462228.

Contact Information

	Ruth K Dominguez Enriquez, PA
	200 Highland Ave Ste 100b, Glen Ridge, NJ 07028-1521
	(973) 969-3800
	(833) 488-1213

Map and Direction

Provider's Profile

Full Name	Ruth K Dominguez Enriquez
Gender	Female
Speciality	Physician Assistant
Location	200 Highland Ave Ste 100b, Glen Ridge, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598462228
Provider Enumeration Date: 02/13/2023
Last Update Date: 12/12/2023

Medicare PECOS Information:

PECOS PAC ID: 5395119507
Enrollment ID: I20230329001582

Medical Identifiers

Medical identifiers for Ruth K Dominguez Enriquez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598462228	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	25MP00766000 (New Jersey)	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. Ruth K Dominguez Enriquez 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
Ruth K Dominguez Enriquez, PA 6 Woodside Rd, Morristown, NJ 07960-4515 Ph: (201) 400-7831	Ruth K Dominguez Enriquez, PA 200 Highland Ave Ste 100b, Glen Ridge, NJ 07028-1521 Ph: (973) 969-3800

Reviews and Comments

Physician Assistant Nurses in Glen Ridge, NJ

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Lavinia May Couture, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 230 Sherman Ave, Glen Ridge, NJ 07028 Phone: 201-256-5317
Andrea R. Medel, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Bay St, Glen Ridge, NJ 07028 Phone: 973-429-6200
Sydney Blair Pacelli, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Highland Ave Ste 100b, Glen Ridge, NJ 07028 Phone: 973-969-3800 Fax: 833-488-1213

Ruth K Dominguez Enriquez, PA - Medicare Physician Assistant in Glen Ridge, NJ