Ruby Nicole Tollison-truitt, DNAP is a medicare enrolled "Registered Nurse" physician in Fayetteville, Arkansas. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Gastro Anesthesia Pllc and her current practice location is
3344 N Futrall Dr, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 439-6390.
Ruby Nicole Tollison-truitt is licensed to practice in Arkansas (license number R096697) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538782537.
Physician's Profile
| Full Name | Ruby Nicole Tollison-truitt |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 6 Years |
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| Location | 3344 N Futrall Dr, Fayetteville, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ruby Nicole Tollison-truitt graduated from medical school in 2020
NPI Data:
- NPI Number: 1538782537
- Provider Enumeration Date: 05/26/2020
- Last Update Date: 01/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799141610
- Enrollment ID: I20240528001024
Medical Identifiers
Medical identifiers for Ruby Nicole Tollison-truitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538782537 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 221498 (Arkansas) | Secondary |
| 163W00000X | Registered Nurse | R096697 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Gastro Anesthesia Pllc | 3577727700 | 7 |
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 Nicole Tollison-truitt allows following entities to bill medicare on her behalf.
| Entity Name | Gastro Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366700890
PECOS PAC ID: 3577727700
Enrollment ID: O20120619000424 |
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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 Nicole Tollison-truitt 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 Nicole Tollison-truitt, DNAP
6202 W Buckeye Dr,
Rogers, AR 72758-6050
Ph: (903) 602-9916 | Ruby Nicole Tollison-truitt, DNAP
3344 N Futrall Dr,
Fayetteville, AR 72703-4057
Ph: (479) 439-6390 |
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