Ruth Leslie Rogow, NP RN CNM is a medicare enrolled "Advanced Practice Midwife" in San Rafael, California. Her current practice location is
3260 Kerner Blvd, Suite E, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at
(415) 473-3730.
Ruth Leslie Rogow is licensed to practice in California (license number 785) 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 1053419069.
Provider's Profile
| Full Name | Ruth Leslie Rogow |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 3260 Kerner Blvd, San Rafael, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053419069
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 01/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 2365751427
- Enrollment ID: I20180608002050
Medical Identifiers
Medical identifiers for Ruth Leslie Rogow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053419069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | 378607 (California) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 5072 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 785 (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. Ruth Leslie Rogow allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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 Leslie Rogow 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 |
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Ruth Leslie Rogow, NP RN CNM
3260 Kerner Blvd, Suite E,
San Rafael, CA 94901-4840
Ph: (415) 473-3730 | Ruth Leslie Rogow, NP RN CNM
3260 Kerner Blvd, Suite E,
San Rafael, CA 94901-4840
Ph: (415) 473-3730 |
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