Jacqueline M Ruddy, ASW in Huntington Beach, CA - Medicare Marriage & Family Therapist Provider

Jacqueline M Ruddy, ASW is a medicare enrolled "Marriage & Family Therapist" provider in Huntington Beach, California. Her current practice location is 2130 Main St Ste 120, Huntington Beach, California. You can reach out to her office (for appointments etc.) via phone at (714) 402-5106.

Jacqueline M Ruddy is licensed to practice in California (license number 53280) 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 1295390631.

Contact Information

	Jacqueline M Ruddy, ASW
	2130 Main St Ste 120, Huntington Beach, CA 92648-6476
	(714) 402-5106
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline M Ruddy
Gender	Female
Speciality	Marriage & Family Therapist
Location	2130 Main St Ste 120, Huntington Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295390631
Provider Enumeration Date: 05/01/2019
Last Update Date: 05/01/2019

Medicare PECOS Information:

PECOS PAC ID: 2264886928
Enrollment ID: I20230928002288

Medical Identifiers

Medical identifiers for Jacqueline M Ruddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295390631	NPI	-	NPPES
1235447897	Other		BBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	53280 (California)	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. Jacqueline M Ruddy allows following entities to bill medicare on her behalf.

Entity Name	Cognitive Care Solutions Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548614183 PECOS PAC ID: 5698066124 Enrollment ID: O20160614000770

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. Jacqueline M Ruddy 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
Jacqueline M Ruddy, ASW 918 Main St Apt C, Huntington Beach, CA 92648-3457 Ph: (714) 402-5106	Jacqueline M Ruddy, ASW 2130 Main St Ste 120, Huntington Beach, CA 92648-6476 Ph: (714) 402-5106

Reviews and Comments

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Jacqueline M Ruddy, ASW - Medicare Couples Therapy in Huntington Beach, CA