Maxine A Ruddock, PHD in Tavares, FL - Medicare Psychologist Provider

Maxine A Ruddock, PHD is a medicare enrolled "Psychologist - Clinical" provider in Tavares, Florida. Her current practice location is 2511 Dora Ave, Tavares, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 508-5399.

Maxine A Ruddock is licensed to practice in Florida (license number PY7658) 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 1205014461.

Contact Information

	Maxine A Ruddock, PHD
	2511 Dora Ave, Tavares, FL 32778-4977
	(352) 508-5399
	(917) 677-7121

Map and Direction

Healthcare Provider's Profile

Full Name	Maxine A Ruddock
Gender	Female
Speciality	Psychologist - Clinical
Location	2511 Dora Ave, Tavares, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205014461
Provider Enumeration Date: 02/08/2008
Last Update Date: 05/02/2015

Medicare PECOS Information:

PECOS PAC ID: 2466522529
Enrollment ID: I20080531000094

Medical Identifiers

Medical identifiers for Maxine A Ruddock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205014461	NPI	-	NPPES
008648900	Medicaid	FL
004105100	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY7658 (Florida)	Primary
101YM0800X	Counselor - Mental Health	PY7658 (Florida)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	PY7658 (Florida)	Secondary
101YP2500X	Counselor - Professional	PY7658 (Florida)	Secondary
1041C0700X	Social Worker - Clinical	PY7658 (Florida)	Secondary
103TP2701X	Psychologist - Group Psychotherapy	PY7658 (Florida)	Secondary
103T00000X	Psychologist	PY7658 (Florida)	Secondary
103TA0400X	Psychologist - Addiction (substance Use Disorder)	PY7658 (Florida)	Secondary
103TA0700X	Psychologist - Adult Development & Aging	PY7658 (Florida)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	PY7658 (Florida)	Secondary
103TB0200X	Psychologist - Cognitive & Behavioral	PY7658 (Florida)	Secondary
103TC1900X	Psychologist - Counseling	PY7658 (Florida)	Secondary
103TM1800X	Psychologist - Intellectual & Developmental Disabilities	PY7658 (Florida)	Secondary
101Y00000X	Counselor	PY7658 (Florida)	Secondary
103TF0000X	Psychologist - Family	PY7658 (Florida)	Secondary

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. Maxine A Ruddock allows following entities to bill medicare on her behalf.

Entity Name	Maxine A Ruddock Phd P A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578732632 PECOS PAC ID: 3375613490 Enrollment ID: O20080602000451

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. Maxine A Ruddock 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
Maxine A Ruddock, PHD 2511 Dora Ave, Tavares, FL 32778-4977 Ph: (352) 508-5399	Maxine A Ruddock, PHD 2511 Dora Ave, Tavares, FL 32778-4977 Ph: (352) 508-5399

Reviews and Comments

Psychologist in Tavares, FL

Amberlee K. Henson, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 E Maud St, Tavares, FL 32778 Phone: 352-253-9348 Fax: 352-253-9351
Dr. Nadine Vaughan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 E Maud St, Tavares, FL 32778 Phone: 352-253-9348 Fax: 352-253-9351
Juan J Lopez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 E Maud St, Tavares, FL 32778 Phone: 352-253-9348 Fax: 352-253-9351
Kelly Ann Ergle, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 E Maud St, Tavares, FL 32778 Phone: 352-253-9348 Fax: 352-253-9351
Mrs. Bernice L Walker, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2449 Bracknell Forest Trl, Tavares, FL 32778 Phone: 352-434-8454
Dr. Evelyn R Baez-rojas, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1799 Salk Ave, Tavares, FL 32778 Phone: 352-742-8300 Fax: 352-742-8305

Maxine A Ruddock, PHD - Medicare Psychologist in Tavares, FL