Ericka Rutledge, PHD in Saint Louis, MO - Medicare Psychologist Provider

Ericka Rutledge, PHD is a medicare enrolled "Psychologist - Clinical" provider in Saint Louis, Missouri. Her current practice location is 1465 S Grand Blvd, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 577-5667.

Ericka Rutledge is licensed to practice in Missouri (license number TBD) 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 1215448527.

Contact Information

	Ericka Rutledge, PHD
	1465 S Grand Blvd, Saint Louis, MO 63104-1003
	(314) 577-5667
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ericka Rutledge
Gender	Female
Speciality	Psychologist - Clinical
Location	1465 S Grand Blvd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215448527
Provider Enumeration Date: 10/14/2017
Last Update Date: 11/09/2020

Medicare PECOS Information:

PECOS PAC ID: 6204195563
Enrollment ID: I20180111001567

Medical Identifiers

Medical identifiers for Ericka Rutledge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215448527	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	TBD (Missouri)	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. Ericka Rutledge allows following entities to bill medicare on her behalf.

Entity Name	Ssm Cardinal Glennon Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604

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. Ericka Rutledge 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
Ericka Rutledge, PHD 833 Doerwood Ct, Saint Louis, MO 63122-3010 Ph: (260) 403-4480	Ericka Rutledge, PHD 1465 S Grand Blvd, Saint Louis, MO 63104-1003 Ph: (314) 577-5667

Reviews and Comments

Psychologist in Saint Louis, MO

Karen Andre Johnston, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Jefferson Barracks Dr, Saint Louis, MO 63125 Phone: 314-652-4100
Dr. Sarah Margaret Hanly, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-577-5667 Fax: 314-268-2784
Yoshiko Hall, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117 Phone: 630-456-1369
Dr. Lizette Janine Smith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4316 Lindell Blvd, Saint Louis, MO 63108 Phone: 314-533-2229 Fax: 314-533-7496
Jerry Dunn, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 University Blvd, Saint Louis, MO 63121 Phone: 314-516-7342 Fax: 314-516-6624
Dr. Erikalin Nichole Ashton, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9890 Clayton Rd, Suite 100, Saint Louis, MO 63124 Phone: 314-222-5848 Fax: 314-222-5849
Dr. Daniel Jeremy Williger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10820 Sunset Office Dr 210, Saint Louis, MO 63127 Phone: 314-712-0365 Fax: 314-549-8807

Ericka Rutledge, PHD - Medicare Psychologist in Saint Louis, MO