Savannah Elise Rucker, LVN is a
Licensed Vocational Nurse based in Kennard, Texas. Savannah Elise Rucker is licensed to practice in Texas (license number 305576) and her current practice location is
3077 Hogg Road Ext, Kennard, Texas. She can be reached at her office (for appointments etc.) via phone at
(936) 707-1210.
NPI number for Savannah Elise Rucker is 1316512619 and her current mailing address is Po Box 328, Apple Springs, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316512619.
Provider's Profile
| Full Name | Savannah Elise Rucker |
|---|
| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 3077 Hogg Road Ext, Kennard, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316512619
- Provider Enumeration Date: 05/20/2021
- Last Update Date: 05/20/2021
Medical Identifiers
Medical identifiers for Savannah Elise Rucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316512619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 305576 (Texas) | 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. Savannah Elise Rucker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Savannah Elise Rucker, LVN
Po Box 328,
Apple Springs, TX 75926-0328
Ph: (936) 707-1210 | Savannah Elise Rucker, LVN
3077 Hogg Road Ext,
Kennard, TX 75847
Ph: (936) 707-1210 |
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