Ruby Blue Pruitt, PA-C is a medicare enrolled "Physician Assistant" physician in Hershey, Pennsylvania. She graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is
500 University Dr, Hershey, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 531-6597.
Ruby Blue Pruitt is licensed to practice in Pennsylvania (license number MA066909) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1063398303.
Physician's Profile
| Full Name | Ruby Blue Pruitt |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 500 University Dr, Hershey, Pennsylvania |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ruby Blue Pruitt graduated from medical school in 2025
NPI Data:
- NPI Number: 1063398303
- Provider Enumeration Date: 08/13/2025
- Last Update Date: 09/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 8628575172
- Enrollment ID: I20251009002249
Medical Identifiers
Medical identifiers for Ruby Blue Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063398303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MA066909 (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | MA066909 (Pennsylvania) | 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. Ruby Blue Pruitt allows following entities to bill medicare on her behalf.
| Entity Name | The Milton S Hershey Medical Center Physicians Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741 |
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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. Ruby Blue Pruitt 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 |
Ruby Blue Pruitt, PA-C 500 University Dr, Mc Ca410, Hershey, PA 17033-2360 Ph: (717) 531-5208 | Ruby Blue Pruitt, PA-C 500 University Dr, Hershey, PA 17033-2360 Ph: (717) 531-6597 |
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