Mrs Mary Ruth Gorniak, CNM, FNP in Dayton, OH - Medicare Advanced Practice Midwife

Mrs Mary Ruth Gorniak, CNM, FNP is a medicare enrolled "Advanced Practice Midwife" in Dayton, Ohio. Her current practice location is 1 Wyoming St, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 208-2007.

Mrs Mary Ruth Gorniak is licensed to practice in Ohio (license number NM-00661) 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 1699817874.

Contact Information

	Mrs Mary Ruth Gorniak, CNM, FNP
	1 Wyoming St, Dayton, OH 45409-2722
	(937) 208-2007
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mary Ruth Gorniak
Gender	Female
Speciality	Advanced Practice Midwife
Location	1 Wyoming St, Dayton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699817874
Provider Enumeration Date: 02/13/2007
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 1557585387
Enrollment ID: I20140617000994

Medical Identifiers

Medical identifiers for Mrs Mary Ruth Gorniak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699817874	NPI	-	NPPES
2190650	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP-00786 (Ohio)	Secondary
367A00000X	Advanced Practice Midwife	NM-00661 (Ohio)	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 Mary Ruth Gorniak allows following entities to bill medicare on her behalf.

Entity Name	Five Rivers Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104115823 PECOS PAC ID: 9335300904 Enrollment ID: O20120409000638

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 Mary Ruth Gorniak 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 Mary Ruth Gorniak, CNM, FNP 624 Southern Belle Blvd, Beavercreek, OH 45434-6200 Ph: (937) 426-8122	Mrs Mary Ruth Gorniak, CNM, FNP 1 Wyoming St, Dayton, OH 45409-2722 Ph: (937) 208-2007

Reviews and Comments

Advanced Practice Midwife Nurses in Dayton, OH

Carla Renee King, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9000 N Main St, Suite 232, Dayton, OH 45415 Phone: 937-277-8988 Fax: 937-277-9035
Jalana N Lazar, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9000 N Main St, Suite 234, Dayton, OH 45415 Phone: 937-277-8988 Fax: 937-832-2421
Donna M Gau-jata, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-2007
Deborah Jean Ruxer, RN, MS, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2222 Philadelphia Dr, Good Samaritan Hospital, The Family Birthing Center, Dayton, OH 45406 Phone: 937-278-2612 Fax: 937-223-9735
Mrs. Kimberly J Breneman, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 9000 N Main St, Suite 234, Dayton, OH 45415 Phone: 937-277-8988 Fax: 937-832-2421
Dr. Shenika Ashley Zarebski, DO Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 30 E Apple St Ste 6258, Dayton, OH 45409 Phone: 937-208-8000
Susan L Kloth, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 9000 N Main St, Suite 232, Dayton, OH 45415 Phone: 937-277-8988 Fax: 937-277-9035

Mrs Mary Ruth Gorniak, CNM, FNP - Medicare Advanced Practice Midwife in Dayton, OH