MEDICARE: SIERRA RUCKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	A-6428208	PA

General Provider Information

NPI Number	:	1841145893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIERRA RUCKER

Provider Business Mailing Address
First Line	:	127 PETER DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-1731
Country	:	US
Telephone Number	:	412-437-8836
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 PETER DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-1731
Country	:	US
Telephone Number	:	412-437-8836
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ SIERRA RUCKER ” Practice Location

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