Julia Terese Ruckman, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Gillespie, Illinois. Her current practice location is
109 E Maple St, Gillespie, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 839-1526.
Julia Terese Ruckman is licensed to practice in Illinois (license number 149.011736) 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 1356599971.
Healthcare Provider's Profile
| Full Name | Julia Terese Ruckman |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 109 E Maple St, Gillespie, Illinois |
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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: 1356599971
- Provider Enumeration Date: 09/08/2008
- Last Update Date: 06/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779644786
- Enrollment ID: I20081209000829
Medical Identifiers
Medical identifiers for Julia Terese Ruckman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356599971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 22407 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.011736 (Illinois) | 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. Julia Terese Ruckman allows following entities to bill medicare on her behalf.
| Entity Name | Macoupin County Public Health Department |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538444906 PECOS PAC ID: 1557377850 Enrollment ID: O20060223000446 |
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| Entity Name | Psychiatric Services Of Southern Illinois Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689991291 PECOS PAC ID: 4082747597 Enrollment ID: O20100804001058 |
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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. Julia Terese Ruckman 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 |
Julia Terese Ruckman, MSW, LCSW 545 Buena Vista St, Edwardsville, IL 62025-2070 Ph: (618) 499-6871 | Julia Terese Ruckman, MSW, LCSW 109 E Maple St, Gillespie, IL 62033 Ph: (217) 839-1526 |
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