Kade Rucker, in Olympia, WA - Medicare Counselor Provider

Kade Rucker, is a medicare enrolled "Counselor - Mental Health" provider in Olympia, Washington. His current practice location is 3738 Donnelly Ct Se, Olympia, Washington. You can reach out to his office (for appointments etc.) via phone at (720) 549-0938.

Kade Rucker is licensed to practice in Washington (license number 61172924) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235772930.

Contact Information

	Kade Rucker,
	3738 Donnelly Ct Se, Olympia, WA 98501-5002
	(720) 549-0938
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kade Rucker
Gender	Male
Speciality	Counselor - Mental Health
Location	3738 Donnelly Ct Se, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235772930
Provider Enumeration Date: 10/25/2019
Last Update Date: 12/05/2023

Medicare PECOS Information:

PECOS PAC ID: 8224552633
Enrollment ID: I20250408000020

Medical Identifiers

Medical identifiers for Kade Rucker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235772930	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	15216 (Colorado)	Secondary
101YM0800X	Counselor - Mental Health	61172924 (Washington)	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. Kade Rucker allows following entities to bill medicare on his behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826

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. Kade 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
Kade Rucker, 3738 Donnelly Ct Se, Olympia, WA 98501-5002 Ph: (720) 549-0938	Kade Rucker, 3738 Donnelly Ct Se, Olympia, WA 98501-5002 Ph: (720) 549-0938

Reviews and Comments

Counselor in Olympia, WA

Layla M. Bushee, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 825 Legion Way Se Ste 3a, Olympia, WA 98501 Phone: 206-636-1246
Shelby Ann Wise, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 10th Ave Se, Olympia, WA 98501 Phone: 360-819-0546
Pamela Kay Bodine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3857 Martin Way E, Olympia, WA 98506 Phone: 360-704-7170
Mary Achol Bol, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3436 Mary Elder Rd Ne # Rs, Olympia, WA 98506 Phone: 360-528-2590
Sheryl Stone-carle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502 Phone: 360-878-8248
Daniele Brittney Maurer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3857 Martin Way E, Olympia, WA 98506 Phone: 360-704-7170
Andrew Daniel-jude Thompson, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3773 Martin Way E, Olympia, WA 98506 Phone: 360-688-7312 Fax: 360-688-7318

Kade Rucker, - Medicare Counselor in Olympia, WA