Michelle B Ruby, MD - Medicare Pediatrics in Beaverton, OR

Michelle B Ruby, MD is a medicare enrolled "Pediatrics" physician in Beaverton, Oregon. Her current practice location is 4855 Sw Western Ave, Beaverton, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 643-7565.

Michelle B Ruby is licensed to practice in Oregon (license number MD15263) 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 1750493078.

Contact Information

Michelle B Ruby, MD
4855 Sw Western Ave,
Beaverton, OR 97005-3460
(503) 643-7565
Not Available



Physician's Profile

Full NameMichelle B Ruby
GenderFemale
SpecialityPediatrics
Location4855 Sw Western Ave, Beaverton, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750493078
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1254412331
  • Enrollment ID: I20080115000249

Medical Identifiers

Medical identifiers for Michelle B Ruby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750493078NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD15263 (Oregon)Primary
208000000XPediatrics MD00034531 (Washington)Secondary

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. Michelle B Ruby allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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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. Michelle B Ruby 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
Michelle B Ruby, MD
12700 Nw Creekview Dr,
Portland, OR 97229-8359

Ph: (503) 629-7098
Michelle B Ruby, MD
4855 Sw Western Ave,
Beaverton, OR 97005-3460

Ph: (503) 643-7565

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Pediatrics Doctors in Beaverton, OR

Douglas Joseph Hamill, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4855 Sw Western Ave, Beaverton Medical Office, Beaverton, OR 97005
Phone: 503-643-7565    
Dr. Luanne Nilsen, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005
Phone: 503-643-7565    
Dean A Moshofsky, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 15455 Nw Greenbrier Pkwy, Ste 111, Beaverton, OR 97006
Phone: 503-534-3434    Fax: 503-645-4544
Heather M Moore, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 15455 Nw Greenbrier Pkwy, Ste 111, Beaverton, OR 97006
Phone: 503-531-3434    Fax: 503-645-4544
Thomas Jeffrey Anderson Ii, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 15455 Nw Greenbrier Pkwy Ste 111, Beaverton, OR 97006
Phone: 503-531-3434    Fax: 503-645-4544
Cole Julius Nygard,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 15455 Nw Greenbrier Pkwy Ste 111, Beaverton, OR 97006
Phone: 503-531-3434    
Mary Ellen Ulmer, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 15950 Sw Millikan Way, Beaverton, OR 97006
Phone: 503-646-0161    Fax: 503-643-7459

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