Leslie Ruiz, is a medicare enrolled "Clinical Neuropsychologist" provider in Orlando, Florida. Her current practice location is
32 W Gore St Fl 5, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 841-3820.
Leslie Ruiz is licensed to practice in Florida (license number PY12387) 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 1043588486.
Healthcare Provider's Profile
| Full Name | Leslie Ruiz |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 32 W Gore St Fl 5, Orlando, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043588486
- Provider Enumeration Date: 12/13/2011
- Last Update Date: 06/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850822982
- Enrollment ID: I20241001000737
Medical Identifiers
Medical identifiers for Leslie Ruiz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043588486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PY12387 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY12387 (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. Leslie Ruiz allows following entities to bill medicare on her behalf.
| Entity Name | Orlando Health Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669429577
PECOS PAC ID: 9537059084
Enrollment ID: O20040318000044 |
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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. Leslie 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 |
|---|
Leslie Ruiz,
32 W Gore St Fl 5,
Orlando, FL 32806-1134
Ph: (321) 841-3820 | Leslie Ruiz,
32 W Gore St Fl 5,
Orlando, FL 32806-1134
Ph: (321) 841-3820 |
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