Ruth Lavone Ebangit, MD
Individual provider Active NPI Family Medicine Physician · Haskell, TX
NPI 1902198880 · NPPES record last updated Nov 3, 2014
Key facts
- NPI
- 1902198880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- Q0430 (TX)
- Practice address
- 1 North Ave N
Haskell, TX 79521 - Phone
- (940) 864-8513
- NPI assigned
- May 10, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Knox County Hospital District
Practice addresses (Care Compare)
120 E D St
Munday, TX 76371-1961
Phone (940) 422-5271
712 SE 5TH St
Knox City, TX 79529-2105
Phone (940) 657-3906
Hospital & facility affiliations
- Knox County Hospital Home Care
- Angels Care Home Health of San Angelo
- Above & Beyond Home Health & Rehab
- Hospice of Wichita Falls
- Knox County Hospital
- Hendrick Medical Center
- Haskell Memorial Hospital
- Munday Nursing Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141002001033 | TX | Practitioner - Family Practice | 2860612454 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q0430 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knox County Hospital District | Current |
Accepting new patients | |
| Haskell County Hospital | Current |
Accepting new patients | |
| Knox County Hospital District | Current |
Accepting new patients | |
| Haskell County Hospital | Current |
Accepting new patients | |
| Knox County Hospital District | Past | Accepting new patients | |
| Knox County Hospital | Past | Accepting new patients | |
| Knox County Hospital District | Past | Accepting new patients |
Locations
1 Avenue N
Haskell, TX 79521
Phone (940) 228-4321
712 SE 5th St
Knox City, TX 79529
Phone (940) 657-3906
711 SE 5th St
Knox City, TX 79529
Phone (940) 657-3535
701 SE 5th St
Knox City, TX 79529
Phone (940) 657-3535
120 E D St
Munday, TX 76371
Phone (940) 422-5271
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Q0430 | TX | Yes |
Addresses
Primary practice location
1 North Ave N
Haskell, TX 79521
Mailing address
P.O. Box 1117
Haskell, TX 79521
Phone (940) 864-2779
Other providers in Haskell, TX
- Charles W Cadenhead
- Charles W Cadenhead M D
- County of Throckmorton
- Raquel Leigh Decker
- Jordan Elaine Earle
- Michelle Rebecca Espinoza
- Keith Simmons Everett
- Geosmiles Dental PLLC
- Renee Gober
- Haskell Cisd
All providers in Haskell, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.