Dr Ruby Agoha, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Lompoc, California. Her current practice location is
401 E Ocean Ave, Lompoc, California. You can reach out to her office (for appointments etc.) via phone at
(805) 737-6600.
Dr Ruby Agoha is licensed to practice in California (license number A125851) 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 1871796920.
Physician's Profile
| Full Name | Dr Ruby Agoha |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 401 E Ocean Ave, Lompoc, California |
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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: 1871796920
- Provider Enumeration Date: 06/07/2007
- Last Update Date: 06/07/2018
Medicare PECOS Information:
- PECOS PAC ID: 3779758602
- Enrollment ID: I20190131003016
Medical Identifiers
Medical identifiers for Dr Ruby Agoha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871796920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 5055 (Hawaii) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5055 (Hawaii) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A125851 (California) | 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 Ruby Agoha allows following entities to bill medicare on her behalf.
| Entity Name | Hiawatha Harris Md Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942420724 PECOS PAC ID: 1052580115 Enrollment ID: O20110805000150 |
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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 Ruby Agoha 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 Ruby Agoha, MD 401 E Ocean Ave, Lompoc, CA 93436-6828 Ph: (805) 737-6600 | Dr Ruby Agoha, MD 401 E Ocean Ave, Lompoc, CA 93436 Ph: (805) 737-6600 |
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