Individual ProviderRuby ShepherdFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address6023 Harvard Sq, Pittsburgh, PA 15206-3053(412) 661-8020(412) 229-8628PECOS EnrollmentBased on the most recent information from CMS, provider Ruby Shepherd is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1144381229Provider TypeIndividualFull NameShepherd, RubyCredentialMDGenderFemaleSole ProprietorNoEnumeration Date12/13/2006Last Updated9/19/2024Contact InformationPractice LocationPractice Address6023 Harvard Sq, Pittsburgh, PA 15206-3053Phone(412) 661-8020FaxUnlisted FaxMailing LocationMailing Address1201 Eagles Nest Ln, Monroeville, PA 15146-1757Phone(412) 229-8628FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense5315026808Michigan