Mrs Ky Tai Le Ruiz, AA, PA in Snellville, GA - Medicare Anesthesiologist Assistant

Mrs Ky Tai Le Ruiz, AA, PA is a medicare enrolled "Anesthesiologist Assistant" in Snellville, Georgia. Her current practice location is 1700 Medical Way, Snellville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 979-0200.

Mrs Ky Tai Le Ruiz is licensed to practice in * (Not Available) (license number ) 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 1265148068.

Contact Information

	Mrs Ky Tai Le Ruiz, AA, PA
	1700 Medical Way, Snellville, GA 30078-2195
	(770) 979-0200
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Ky Tai Le Ruiz
Gender	Female
Speciality	Anesthesiologist Assistant
Location	1700 Medical Way, Snellville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265148068
Provider Enumeration Date: 01/25/2023
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID: 8628443835
Enrollment ID: I20230330003069

Medical Identifiers

Medical identifiers for Mrs Ky Tai Le Ruiz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265148068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	(* (Not Available))	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. Mrs Ky Tai Le Ruiz allows following entities to bill medicare on her behalf.

Entity Name	Premier Anesthesia Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811403207 PECOS PAC ID: 6608123724 Enrollment ID: O20180720001402

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. Mrs Ky Tai Le Ruiz 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
Mrs Ky Tai Le Ruiz, AA, PA 1704 Creek Mill Trce, Lawrenceville, GA 30044-6184 Ph: (404) 384-8552	Mrs Ky Tai Le Ruiz, AA, PA 1700 Medical Way, Snellville, GA 30078-2195 Ph: (770) 979-0200

Reviews and Comments

Anesthesiologist Assistant Nurses in Snellville, GA

William Musarra, A.A. Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Anesthesia Dept, Snellville, GA 30078 Phone: 770-979-9996
Jeremy L Sterling, PA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-9996 Fax: 770-979-1202
Mark C Ankrom, A.A. Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-9996
Michael A Guerzon, AA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1700 Medical Way, Attn: Anesthesia Department, Snellville, GA 30078 Phone: 770-979-9996 Fax: 770-979-1202
Stephanie Alyse Patel, AA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1700 Medical Way, Anesthesia Department, Snellville, GA 30078 Phone: 770-979-9996 Fax: 770-979-1202
Victor Otroszko, A.A. Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-9996

Mrs Ky Tai Le Ruiz, AA, PA - Medicare Anesthesiologist Assistant in Snellville, GA