Dr Jeffrey Allyn Ruterbusch, DO is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Orange Park, Florida. His current practice location is
316 Parkridge Ave, Orange Park, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 589-0750.
Dr Jeffrey Allyn Ruterbusch is licensed to practice in Florida (license number OS6403) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821142829.
Physician's Profile
| Full Name | Dr Jeffrey Allyn Ruterbusch |
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| Gender | Male |
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| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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| Location | 316 Parkridge Ave, Orange Park, Florida |
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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: 1821142829
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 10/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 7416263215
- Enrollment ID: I20160708000680
Medical Identifiers
Medical identifiers for Dr Jeffrey Allyn Ruterbusch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821142829 | NPI | - | NPPES |
| 1821142829 | Other | FL | NPI |
| 1841673928 | Other | FL | GROUP NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207QS0010X | Family Medicine - Sports Medicine | OS6403 (Florida) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | OS6403 (Florida) | Secondary |
| 133N00000X | Nutritionist | (Florida) | Secondary |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 0006403 (Florida) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | OS6403 (Florida) | 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. Dr Jeffrey Allyn Ruterbusch allows following entities to bill medicare on his behalf.
| Entity Name | Physical Medicine Associates Of Gainesville Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912397886 PECOS PAC ID: 8224359138 Enrollment ID: O20150604000185 |
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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. Dr Jeffrey Allyn Ruterbusch 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 |
Dr Jeffrey Allyn Ruterbusch, DO 316 Parkridge Ave, Orange Park, FL 32065-7507 Ph: (904) 589-0750 | Dr Jeffrey Allyn Ruterbusch, DO 316 Parkridge Ave, Orange Park, FL 32065-7507 Ph: (904) 589-0750 |
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