Samantha Ruschak, is a medicare enrolled "Nurse Practitioner - Family" physician in Cincinnati, Ohio. Her current practice location is
7763 Montgomery Rd, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 891-5438.
Samantha Ruschak is licensed to practice in Pennsylvania (license number SP029493) 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 1285485284.
Physician's Profile
Full Name | Samantha Ruschak |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 7763 Montgomery Rd, Cincinnati, Ohio |
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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: 1285485284
- Provider Enumeration Date: 03/28/2024
- Last Update Date: 06/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082134697
- Enrollment ID: I20250226003035
Medical Identifiers
Medical identifiers for Samantha Ruschak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285485284 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 0038697 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP029493 (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. Samantha Ruschak allows following entities to bill medicare on her behalf.
Entity Name | Cg Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982903951 PECOS PAC ID: 6608052196 Enrollment ID: O20110518000216 |
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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. Samantha Ruschak 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 |
Samantha Ruschak, 6847 Stewart Rd Apt 408, Cincinnati, OH 45236-0717 Ph: (724) 972-6679 | Samantha Ruschak, 7763 Montgomery Rd, Cincinnati, OH 45236-4201 Ph: (513) 891-5438 |
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