| Kendra M Ruckman, PA-C | |
|
205 E Nasa Blvd, Melbourne, FL 32901-1950 | |
| (321) 361-5620 | |
| (321) 434-3511 |
| Full Name | Kendra M Ruckman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 205 E Nasa Blvd, Melbourne, 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 |
|---|---|---|---|
| 1942523600 | NPI | - | NPPES |
| 013210300 | Medicaid | FL | |
| Y0E5E | Other | FL | FLORIDA BLUE (BCBS) |
| GO616Y | Other | FL | FL MEDICARE |
| P01165565 | Other | FL | FL RR MEDICARE |
| 9284904 | Other | FL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 005799 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | PA9106918 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Palm Bay Hospital | Palm bay, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Privia Medical Group, Llc | 3173965993 | 192 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra M Ruckman, PA-C 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: () - | Kendra M Ruckman, PA-C 205 E Nasa Blvd, Melbourne, FL 32901-1950 Ph: (321) 361-5620 |
Mr. Christian Anthony Staniec, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6032 Farcenda Pl, #102, Melbourne, FL 32940 Phone: 321-608-8160 Fax: 321-622-6818 | |
Ms. Sabrina Wu Staples, P.A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3337 Hoofprint Dr, Melbourne, FL 32940 Phone: 321-610-7234 | |
Ryan Ferland, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 946 Spanish Wells Dr, Melbourne, FL 32940 Phone: 321-474-0089 | |
Mr. Patrick Gene Campbell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1494 Avocado Ave, Melbourne, FL 32935 Phone: 321-610-7950 | |
Sara Jane Sengel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940 Phone: 321-253-2169 Fax: 321-253-1720 | |
Mr. Michael J Ceranowski, PA-C, CAA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901 Phone: 321-837-3820 | |
Danielle N Miller, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 1e, Melbourne, FL 32901 Phone: 321-725-4505 Fax: 321-409-8932 |