Ms Brandis L Ruise, BCBA is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Middleburg, Florida. Her current practice location is
3168 Peppertree Dr, Middleburg, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 359-4092.
Ms Brandis L Ruise is licensed to practice in Virginia (license number 0810007282) 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 1881968832.
Healthcare Provider's Profile
Full Name | Ms Brandis L Ruise |
---|
Gender | Female |
---|
Speciality | Psychologist - Clinical Child & Adolescent |
---|
Location | 3168 Peppertree Dr, Middleburg, Florida |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881968832
- Provider Enumeration Date: 03/07/2012
- Last Update Date: 10/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961853262
- Enrollment ID: I20240111001372
Medical Identifiers
Medical identifiers for Ms Brandis L Ruise such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881968832 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC2200X | Psychologist - Clinical Child & Adolescent | 0810007282 (Virginia) | Primary |
103K00000X | Behavior Analyst | 1-12-10359 (Maryland) | Secondary |
103K00000X | Behavior Analyst | 0133000643 (Virginia) | Secondary |
103K00000X | Behavior Analyst | LBA066 (Maryland) | Secondary |
103TC0700X | Psychologist - Clinical | 0810007282 (Virginia) | 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. Ms Brandis L Ruise allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514 |
---|
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. Ms Brandis L Ruise 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 |
Ms Brandis L Ruise, BCBA 3168 Peppertree Dr, Middleburg, FL 32068-8200 Ph: (352) 359-4092 | Ms Brandis L Ruise, BCBA 3168 Peppertree Dr, Middleburg, FL 32068-8200 Ph: (352) 359-4092 |
Reviews and Comments