Dr Mark C Ruchman, MD is a medicare enrolled "Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery" physician in Southbury, Connecticut. His current practice location is
1 Reservoir Office Park Ste 203, 1449 Old Waterbury Rd, Southbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 264-4000.
Dr Mark C Ruchman is licensed to practice in Connecticut (license number 022088) 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 1497717680.
Physician's Profile
| Full Name | Dr Mark C Ruchman |
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| Gender | Male |
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| Speciality | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery |
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| Location | 1 Reservoir Office Park Ste 203, Southbury, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497717680
- Provider Enumeration Date: 04/04/2006
- Last Update Date: 05/06/2016
Medicare PECOS Information:
- PECOS PAC ID: 6103924634
- Enrollment ID: I20070607000297
Medical Identifiers
Medical identifiers for Dr Mark C Ruchman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497717680 | NPI | - | NPPES |
| 001220888 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 022088 (Connecticut) | Secondary |
| 207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | 022088 (Connecticut) | Primary |
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 Mark C Ruchman 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 Mark C Ruchman, MD
1 Reservoir Office Park Ste 203, 1449 Old Waterbury Rd,
Southbury, CT 06488-3926
Ph: (203) 264-4000 | Dr Mark C Ruchman, MD
1 Reservoir Office Park Ste 203, 1449 Old Waterbury Rd,
Southbury, CT 06488-3926
Ph: (203) 264-4000 |
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