| Alyse Nicole Ruda, PA-C | |
|
1708 Cape Coral Pkwy W Ste 6, Cape Coral, FL 33914-6985 | |
| (239) 540-1495 | |
| (239) 549-1080 |
| Full Name | Alyse Nicole Ruda |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 1708 Cape Coral Pkwy W Ste 6, Cape Coral, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467260745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9119737 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Millennium Physician Group Llc | 9830244433 | 976 |
| Legacy Healthcare Services Inc | 2163339722 | 3431 |
| Entity Name | Millennium Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyse Nicole Ruda, PA-C 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Alyse Nicole Ruda, PA-C 1708 Cape Coral Pkwy W Ste 6, Cape Coral, FL 33914-6985 Ph: (239) 540-1495 |
Navya Miryala, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2125 Se 16th Pl, Cape Coral, FL 33990 Phone: 239-458-1131 |
Mr. Jonathan Cleon Hendricks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 636 Del Prado Boulevard, Cape Coral, FL 33990 Phone: 239-424-2222 |
Kristen Jeanine Nearing, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-3513 |
Summer Stagman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 708 Del Prado Blvd S Ste 6, Cape Coral, FL 33990 Phone: 239-424-2755 |
Miss Kimberly Ann Burgess, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2656 Blue Cypress Lake Ct, Cape Coral, FL 33909 Phone: 954-448-5636 |
Tara Michelle Stepp, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1682 Ne Pine Island Rd, Cape Coral, FL 33909 Phone: 239-424-1655 Fax: 239-424-1649 |
Mr. Alexander Gregory Waelchli, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-2000 |