Stina Jennifer Ruddell, PA is a medicare enrolled "Physician Assistant - Medical" in Cairo, Georgia. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Privia Medical Group Of Georgia Llc and her current practice location is
1090 5th St Se, Cairo, Georgia. You can reach out to her office (for appointments etc.) via phone at
(229) 377-1100.
Stina Jennifer Ruddell is licensed to practice in Georgia (license number 006097) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770876302.
Provider's Profile
Full Name | Stina Jennifer Ruddell |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 13 Years |
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Location | 1090 5th St Se, Cairo, Georgia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Stina Jennifer Ruddell graduated from nursing school in 2011
NPI Data:
- NPI Number: 1770876302
- Provider Enumeration Date: 05/16/2011
- Last Update Date: 06/25/2015
Medicare PECOS Information:
- PECOS PAC ID: 3173701737
- Enrollment ID: I20110629000744
Medical Identifiers
Medical identifiers for Stina Jennifer Ruddell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770876302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 006097 (Georgia) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Privia Medical Group Of Georgia Llc | 4284951542 | 301 |
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. Stina Jennifer Ruddell 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 |
Stina Jennifer Ruddell, PA 900 Cairo Rd, Thomasville, GA 31792-4255 Ph: (229) 227-5158 | Stina Jennifer Ruddell, PA 1090 5th St Se, Cairo, GA 39828-3139 Ph: (229) 377-1100 |
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