Dr Jackeline Lopez Ruiz, - Medicare General Practice in Leesburg, FL

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Dr Jackeline Lopez Ruiz, is a medicare enrolled "General Practice" physician in Leesburg, Florida. She graduated from medical school in 2006 and has 20 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Centerwell Senior Primary Care Fl Inc. and her current practice location is 941 N 14th St, Leesburg, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 326-4031.

Dr Jackeline Lopez Ruiz is licensed to practice in Florida (license number ACN1303) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073174496.

Contact Information

Dr Jackeline Lopez Ruiz,
941 N 14th St,
Leesburg, FL 34748-3838
(352) 326-4031
(352) 360-0257

Map and Direction




Physician's Profile

Full NameDr Jackeline Lopez Ruiz
GenderFemale
SpecialityGeneral Practice
Experience20 Years
Location941 N 14th St, Leesburg, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jackeline Lopez Ruiz graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1073174496
  • Provider Enumeration Date: 06/26/2019
  • Last Update Date: 10/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6305278060
  • Enrollment ID: I20201130000353

Medical Identifiers

Medical identifiers for Dr Jackeline Lopez Ruiz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073174496NPI-NPPES
109164100MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice ACN1303 (Florida)Primary
208D00000XGeneral Practice 21359 (Puerto Rico)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vitas Healthcare Corporation Of FloridaMelbourne, FLHospice

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centerwell Senior Primary Care Fl Inc.983018473888

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. Dr Jackeline Lopez Ruiz allows following entities to bill medicare on her behalf.
Entity NameCenterwell Senior Primary Care Fl Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487686705
PECOS PAC ID: 9830184738
Enrollment ID: O20040419001657

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. Dr Jackeline Lopez 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 AddressPractice Location Address
Dr Jackeline Lopez Ruiz,
6101 Blue Lagoon Dr Ste 200,
Miami, FL 33126-3168

Ph: () -		Dr Jackeline Lopez Ruiz,
941 N 14th St,
Leesburg, FL 34748-3838

Ph: (352) 326-4031

Reviews and Comments


General Practice Doctors in Leesburg, FL

Jose Llamas, MD
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Phone: 352-350-8888    Fax: 352-350-2014
Blandine Pierre, MD
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Dr. Yamil Carlo Lopez, MD
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Practice Location: 941 N 14th St, Leesburg, FL 34748
Phone: 352-326-4031    Fax: 352-360-0257
Omar Jose Vazquez Alicea, MD
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Dr. Yanira R. Feliciano Montalvo, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 601 E Dixie Ave Ste 102, Leesburg, FL 34748
Phone: 352-350-8888    Fax: 844-388-6186

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.