Amy Lanette Rucker, is a medicare enrolled "Speech-language Pathologist" provider in Viola, Arkansas. Her current practice location is
314 Longhorn Dr., Viola, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 458-2511.
Amy Lanette Rucker is licensed to practice in Arkansas (license number SP1503) 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 1841463908.
Healthcare Provider's Profile
Full Name | Amy Lanette Rucker |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 314 Longhorn Dr., Viola, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841463908
- Provider Enumeration Date: 04/10/2008
- Last Update Date: 11/17/2010
Medicare PECOS Information:
- PECOS PAC ID: 1456600154
- Enrollment ID: I20180814000105
Medical Identifiers
Medical identifiers for Amy Lanette Rucker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841463908 | NPI | - | NPPES |
136543721 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SP1503 (Arkansas) | 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. Amy Lanette Rucker allows following entities to bill medicare on her behalf.
Provider Name | Gross Therapy Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1033236468 PECOS PAC ID: 5991072050 Enrollment ID: O20170522002316 |
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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. Amy Lanette Rucker 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 |
Amy Lanette Rucker, 314 Longhorn Dr., Viola, AR 72583-0380 Ph: (870) 458-2511 | Amy Lanette Rucker, 314 Longhorn Dr., Viola, AR 72583-0380 Ph: (870) 458-2511 |
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