Ruchita Ervin, in Monona, WI - Medicare Counselor Provider

Ruchita Ervin, is a medicare enrolled "Counselor - Professional" provider in Monona, Wisconsin. Her current practice location is 1955 W Broadway Ste 104, Monona, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 405-3002.

Ruchita Ervin is licensed to practice in Wisconsin (license number 6487-125) 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 1063891992.

Contact Information

	Ruchita Ervin,
	1955 W Broadway Ste 104, Monona, WI 53713-3700
	(608) 405-3002
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ruchita Ervin
Gender	Female
Speciality	Counselor - Professional
Location	1955 W Broadway Ste 104, Monona, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063891992
Provider Enumeration Date: 05/26/2015
Last Update Date: 05/23/2025

Medicare PECOS Information:

PECOS PAC ID: 0547789612
Enrollment ID: I20250522000849

Medical Identifiers

Medical identifiers for Ruchita Ervin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063891992	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	17263-130 (Wisconsin)	Secondary
106H00000X	Marriage & Family Therapist	440-228 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	6487-125 (Wisconsin)	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. Ruchita Ervin allows following entities to bill medicare on her behalf.

Entity Name	Our Generations Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609520204 PECOS PAC ID: 5294254363 Enrollment ID: O20250522000781

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. Ruchita Ervin 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
Ruchita Ervin, 1955 W Broadway Ste 104, Monona, WI 53713-3700 Ph: (608) 405-3002	Ruchita Ervin, 1955 W Broadway Ste 104, Monona, WI 53713-3700 Ph: (608) 405-3002

Reviews and Comments

Counselor in Monona, WI

Rachelle M. Neckar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5900 Monona Dr Ste 401, Monona, WI 53716 Phone: 608-709-5008
Mr. Reid Durtschi, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2829 Royal Ave Ste 200, Monona, WI 53713 Phone: 608-661-2829 Fax: 608-661-0907
Ashley Barry, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1955 W Broadway Ste 104, Monona, WI 53713 Phone: 608-405-3002
Danyelle Ronke Okesanjo, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1955 W Broadway, Monona, WI 53713 Phone: 608-285-9101 Fax: 608-467-9635
Mr. Gerald Wistein, ICS, CSAC, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Femrite Dr, Monona, WI 53716 Phone: 608-204-8491
Valerie Henderson, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 6400 Gisholt Dr, Ste 209, Monona, WI 53713 Phone: 414-202-9146

Ruchita Ervin, - Medicare Counselor in Monona, WI