Kailee Marie Ruiz, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Farmington, Minnesota. Her current practice location is
213 1st St, Farmington, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 301-3412.
Kailee Marie Ruiz is licensed to practice in Minnesota (license number 4530) 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 1003535923.
Healthcare Provider's Profile
Full Name | Kailee Marie Ruiz |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 213 1st St, Farmington, Minnesota |
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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: 1003535923
- Provider Enumeration Date: 08/24/2022
- Last Update Date: 01/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 7012431687
- Enrollment ID: I20250404002868
Medical Identifiers
Medical identifiers for Kailee Marie Ruiz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003535923 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 4530 (Minnesota) | 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. Kailee Marie Ruiz allows following entities to bill medicare on her behalf.
Entity Name | Secure Base Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285905885 PECOS PAC ID: 8628409299 Enrollment ID: O20200514001997 |
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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. Kailee Marie Ruiz 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 |
Kailee Marie Ruiz, LMFT 1192 Macarthur Ave, West Saint Paul, MN 55118-2510 Ph: (952) 207-8925 | Kailee Marie Ruiz, LMFT 213 1st St, Farmington, MN 55024-1003 Ph: (507) 301-3412 |
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