Jarom Lucas Ruby, DO is a medicare enrolled "General Practice" physician in Bolling Afb, District Of Columbia. His current practice location is
238 Brookley Ave Sw, Bolling Afb, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at
(202) 404-5865.
Jarom Lucas Ruby is licensed to practice in Nebraska (license number 2851) 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 1801542600.
Physician's Profile
| Full Name | Jarom Lucas Ruby |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 238 Brookley Ave Sw, Bolling Afb, District Of Columbia |
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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: 1801542600
- Provider Enumeration Date: 03/01/2022
- Last Update Date: 05/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608384151
- Enrollment ID: I20250805002414
Medical Identifiers
Medical identifiers for Jarom Lucas Ruby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801542600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 2851 (Nebraska) | 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. Jarom Lucas Ruby 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 |
Jarom Lucas Ruby, DO 238 Brookley Ave Sw, Bolling Afb, DC 20032-7704 Ph: Not Available | Jarom Lucas Ruby, DO 238 Brookley Ave Sw, Bolling Afb, DC 20032-7704 Ph: (202) 404-5865 |
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