Individual ProviderRuth Tammi GainesSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address4 Cherokee Ln, Commack, NY 11725-4604(631) 864-4028PECOS EnrollmentBased on the most recent information from CMS, provider Ruth Tammi Gaines does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:14 AM.Profile DetailsProvider ID1467523852Provider TypeIndividualFull NameGaines, Ruth TammiTitleMs.CredentialMA,CCCGenderFemaleSole ProprietorYesEnumeration Date11/10/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address4 Cherokee Ln, Commack, NY 11725-4604Phone(631) 864-4028Fax(631) 543-3453Mailing LocationMailing Address4 Cherokee Ln, Commack, NY 11725-4604Phone(631) 864-4028Fax(631) 543-3453Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense004798-1New York