Edla J Rucker, NP is a medicare enrolled "Nurse Practitioner - Family" in Lordsburg, New Mexico. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hidalgo Medical Services and her current practice location is
530 De Moss St, Lordsburg, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 542-8384.
Edla J Rucker is licensed to practice in New Mexico (license number CNP-03224) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467609784.
Provider's Profile
Full Name | Edla J Rucker |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 16 Years |
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Location | 530 De Moss St, Lordsburg, New Mexico |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Edla J Rucker graduated from nursing school in 2008
NPI Data:
- NPI Number: 1467609784
- Provider Enumeration Date: 08/19/2008
- Last Update Date: 04/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 5597925396
- Enrollment ID: I20171213002044
Medical Identifiers
Medical identifiers for Edla J Rucker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467609784 | NPI | - | NPPES |
3810017550 | Medicaid | WV | |
2943499 | Medicaid | OH | |
P01046643 | Other | OH | RAILROAD MEDICARE |
WV1240A | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 10100 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | CNP-03224 (New Mexico) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Hidalgo Medical Services | 4587572250 | 29 |
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. Edla J Rucker allows following entities to bill medicare on her behalf.
Entity Name | Gila Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619053709 PECOS PAC ID: 9931006319 Enrollment ID: O20031215000440 |
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Entity Name | Hidalgo Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306843180 PECOS PAC ID: 4587572250 Enrollment ID: O20040303001246 |
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Entity Name | Valued Medical Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578887329 PECOS PAC ID: 2567592579 Enrollment ID: O20180719001690 |
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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. Edla J 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 |
Edla J Rucker, NP 530 De Moss St, Lordsburg, NM 88045-2617 Ph: (575) 542-2369 | Edla J Rucker, NP 530 De Moss St, Lordsburg, NM 88045-2617 Ph: (575) 542-8384 |
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