MRS. THERESA RENEE RUCKER (PA) – Medical Physician Assistant, NPI 1356391882
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. THERESA RENEE RUCKER (PA)
1291 HARBOR TOWN CIR
MELBOURNE, FL 329401912
Phone: (321) 757-0409
Type: Mailing
2900, Veterans Way, Viera, Brevard County, Florida, United States
VIERA, FL 329408007
Phone: (321) 637-3788
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-11-21
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32940)
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