| David E Ruiz, MD | |
|
1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | |
| (706) 277-7311 | |
| (706) 529-4837 |
| Full Name | David E Ruiz |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 1107 Memorial Dr, Dalton, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467491183 | NPI | - | NPPES |
| 3801292 | Medicaid | TN | |
| P00297047 | Other | TN | MEDICARE RAILROAD |
| 4152426 | Other | TN | BLUE CROSS |
| 40218 | Other | TN | TLC TENNCARE |
| 3801293 | Medicaid | TN | |
| 4031705 | Other | TN | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 18419 (Tennessee) | Secondary |
| 207N00000X | Dermatology | 18419 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| David E Ruiz, MD 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 Ph: (706) 277-7311 | David E Ruiz, MD 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 Ph: (706) 277-7311 |
Jane S. Clark, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1107 Memorial Dr, Suite 201, Dalton, GA 30720 Phone: 706-277-7311 | |
Dr. John Y Chung, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1107 Memorial Dr, Ste 201, Dalton, GA 30720 Phone: 706-277-7311 Fax: 706-272-3512 | |
Mrs. Jordan Nix Ralston, P.A.-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1108 Professional Blvd, Dalton, GA 30720 Phone: 706-226-7546 Fax: 706-529-6628 | |
Dr. Mary Elizabeth Cole, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1108 Professional Blvd, Dalton, GA 30720 Phone: 706-226-7546 Fax: 706-529-6628 | |
Dr. Luis Alberto Gomez Vaca, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1107 Memorial Dr Ste 201, Dalton, GA 30720 Phone: 706-277-7311 Fax: 706-272-3512 |