Tatyana Eastlyn Jack Ruddock, CNM, ARNP - Medicare Advanced Practice Midwife in Ft Lauderdale, FL

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Tatyana Eastlyn Jack Ruddock, CNM, ARNP is a medicare enrolled "Advanced Practice Midwife" in Ft Lauderdale, Florida. Her current practice location is 1625 Se 3rd Ave Ste 502, Ft Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 581-8706.

Tatyana Eastlyn Jack Ruddock is licensed to practice in Florida (license number 9314525) 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 1144722422.

Contact Information

Tatyana Eastlyn Jack Ruddock, CNM, ARNP
1625 Se 3rd Ave Ste 502,
Ft Lauderdale, FL 33316-2521
(954) 581-8706
Not Available

Map and Direction




Provider's Profile

Full NameTatyana Eastlyn Jack Ruddock
GenderFemale
SpecialityAdvanced Practice Midwife
Location1625 Se 3rd Ave Ste 502, Ft Lauderdale, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144722422
  • Provider Enumeration Date: 03/02/2018
  • Last Update Date: 03/02/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3971841586
  • Enrollment ID: I20230420002680

Medical Identifiers

Medical identifiers for Tatyana Eastlyn Jack Ruddock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144722422NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 9314525 (Florida)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. Tatyana Eastlyn Jack Ruddock allows following entities to bill medicare on her behalf.
Entity NameYuma Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194706655
PECOS PAC ID: 2062314826
Enrollment ID: O20040122000526
Entity NameSan Luis Walk-in Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104228337
PECOS PAC ID: 2668361841
Enrollment ID: O20040514000795

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. Tatyana Eastlyn Jack Ruddock 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 AddressPractice Location Address
Tatyana Eastlyn Jack Ruddock, CNM, ARNP
7331 Nw 35th St,
Lauderhill, FL 33319-4913

Ph: (954) 529-1607		Tatyana Eastlyn Jack Ruddock, CNM, ARNP
1625 Se 3rd Ave Ste 502,
Ft Lauderdale, FL 33316-2521

Ph: (954) 581-8706

Reviews and Comments


Advanced Practice Midwife Nurses in Ft Lauderdale, FL

Eileen R Danoff, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1600 S Andrews Ave, Suite 323 West Wing, Ft Lauderdale, FL 33316
Phone: 954-355-5110    Fax: 954-355-4919
Carolyn Schuessler, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1600 S Andrews Ave, Suite 323 West Wing, Ft Lauderdale, FL 33316
Phone: 954-355-5110    Fax: 954-355-4919
Mrs. Stephenie Maud Wright, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1600 S Andrews Ave, Suite 323 West Wing, Ft Lauderdale, FL 33316
Phone: 954-355-5110    Fax: 954-355-4919
Ms. Sheila Gibson, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 200 Nw 7th Ave, Ft Lauderdale, FL 33311
Phone: 954-355-5110    Fax: 954-355-4919
Mrs. Elisa Wolfe, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1600 S Andrews Ave, Suite 323 West Wing, Ft Lauderdale, FL 33316
Phone: 954-355-5110    Fax: 954-355-4919
Imelda Jean-pierre, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1600 S Andrews Ave, Phoenix Obstetrics/gynecology, Llc, Ft Lauderdale, FL 33316
Phone: 954-355-5110    Fax: 954-355-4919

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.