Ruby Delana Wade, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bismarck, Arkansas. She graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Thrive Psychological Services Inc, Sud Specialty Group - Ca and her current practice location is
Po Box 19, Bismarck, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(661) 972-3887.
Ruby Delana Wade is licensed to practice in California (license number 61180) 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 1073642484.
Healthcare Provider's Profile
| Full Name | Ruby Delana Wade |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 16 Years |
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| Location | Po Box 19, Bismarck, Arkansas |
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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:
- Ruby Delana Wade graduated from medical school in 2010
NPI Data:
- NPI Number: 1073642484
- Provider Enumeration Date: 03/02/2007
- Last Update Date: 09/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 7517228133
- Enrollment ID: I20180222002008
Medical Identifiers
Medical identifiers for Ruby Delana Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073642484 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 7831 (Tennessee) | Secondary |
| 1041C0700X | Social Worker - Clinical | 12372 (Arkansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 61180 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Thrive Psychological Services Inc | 1658744974 | 14 |
| Sud Specialty Group - Ca | 9537534177 | 456 |
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. Ruby Delana Wade allows following entities to bill medicare on her behalf.
| Entity Name | Thrive Psychological Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528640026 PECOS PAC ID: 1658744974 Enrollment ID: O20230307000584 |
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| Entity Name | Sud Specialty Group - Ca |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
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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. Ruby Delana Wade 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 |
Ruby Delana Wade, LCSW Po Box 19, Bismarck, AR 71929-0019 Ph: (661) 972-3887 | Ruby Delana Wade, LCSW Po Box 19, Bismarck, AR 71929-0019 Ph: (661) 972-3887 |
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