Dr Paetra Jane Ruddy, MD - Medicare Dermatology in Saint Louis, MO

Dr Paetra Jane Ruddy, MD is a medicare enrolled "Dermatology" physician in Saint Louis, Missouri. She went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Silver Falls Dermatology Llc and her current practice location is 522 N New Ballas Rd, Div Im Dermatology, Ste 316, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 273-3376.

Dr Paetra Jane Ruddy is licensed to practice in Missouri (license number 2015026116) 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 1366738874.

Contact Information

Dr Paetra Jane Ruddy, MD
522 N New Ballas Rd, Div Im Dermatology, Ste 316,
Saint Louis, MO 63141-6857
(314) 273-3376
(314) 454-4323



Physician's Profile

Full NameDr Paetra Jane Ruddy
GenderFemale
SpecialityDermatology
Experience13 Years
Location522 N New Ballas Rd, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Paetra Jane Ruddy attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2011
  NPI Data:
  • NPI Number: 1366738874
  • Provider Enumeration Date: 06/22/2011
  • Last Update Date: 11/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0648409268
  • Enrollment ID: I20220523000752

Medical Identifiers

Medical identifiers for Dr Paetra Jane Ruddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366738874NPI-NPPES
200024055MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 2015026116 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Harrison Medical CenterBremerton, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Silver Falls Dermatology Llc589086349284

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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. Dr Paetra Jane Ruddy allows following entities to bill medicare on her behalf.
Entity NameSilver Falls Dermatology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134375421
PECOS PAC ID: 5890863492
Enrollment ID: O20140328000678

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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. Dr Paetra Jane Ruddy 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
Dr Paetra Jane Ruddy, MD
660 S Euclid Ave, Cb 8123,
Saint Louis, MO 63110-1010

Ph: (314) 567-5873
Dr Paetra Jane Ruddy, MD
522 N New Ballas Rd, Div Im Dermatology, Ste 316,
Saint Louis, MO 63141-6857

Ph: (314) 273-3376

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Dermatology Doctors in Saint Louis, MO

Dr. Caroline M Mann, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 969 N Mason Rd, Div Im Dermatology, Ste 220, Saint Louis, MO 63141
Phone: 314-273-3376    Fax: 888-682-0525
Dr. Eva A. Hurst, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 969 N Mason Rd Ste 200, Ste 200, Saint Louis, MO 63141
Phone: 314-996-8810    Fax: 314-996-8775
Shane A Grace, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 12855 N 40 Dr Ste 180, Saint Louis, MO 63141
Phone: 314-878-5599    Fax: 314-392-4290
Dr. Lee S Portnoff, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3009 N Ballas Rd, Ste 310a, Saint Louis, MO 63131
Phone: 314-993-2909    
Aibing Mary Guo, M.D.
Dermatology
Medicare: May Accept Medicare Assignments
Practice Location: 1225 S Grand Blvd Fl 3, Saint Louis, MO 63104
Phone: 314-977-3400    Fax: 314-977-7613
Dr. Amy C Musiek, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4901 Forest Park Ave, Div Im Dermatology, Ste 502, Saint Louis, MO 63108
Phone: 314-273-3376    Fax: 888-665-8309
Dr. Gillian Meade Heinecke, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1755 S Grand Blvd, Saint Louis, MO 63104
Phone: 314-256-3430    Fax: 314-256-3431

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