| Dr Costanza Dieceka Rutland, MD | |
|
3998 Fair Ridge Drive, Suite 270, Fairfax, VA 22030 | |
| (703) 218-5357 | |
| (703) 218-5358 |
| Full Name | Dr Costanza Dieceka Rutland |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 24 Years |
| Location | 3998 Fair Ridge Drive, Fairfax, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053484725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | C1-0028452 (Delaware) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 0101240864 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Uva Health System Culpeper Med Cente | Culpeper, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Uva Community Health Medical Group Llc | 4688587967 | 351 |
| Entity Name | Uva Community Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598475741 PECOS PAC ID: 4688587967 Enrollment ID: O20110311000151 |
| Entity Name | Obhg Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972807394 PECOS PAC ID: 9436323342 Enrollment ID: O20111110000430 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Costanza Dieceka Rutland, MD 3998 Fair Ridge Dr Ste 270, Fairfax, VA 22033-2907 Ph: (703) 218-5357 | Dr Costanza Dieceka Rutland, MD 3998 Fair Ridge Drive, Suite 270, Fairfax, VA 22030 Ph: (703) 218-5357 |
Ivette Anne Couret, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3025 Hamaker Ct Ste 200, Fairfax, VA 22031 Phone: 703-698-8060 Fax: 703-876-4691 | |
Shawana Mufti, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3930 Pender Dr, Suite 60, Fairfax, VA 22030 Phone: 703-539-8987 Fax: 703-865-4167 | |
Dr. Walter J Hodges Jr., MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3620 Joseph Siewick Dr, 400, Fairfax, VA 22033 Phone: 703-264-7801 Fax: 703-264-7807 | |
Eleanor H Yoon, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8501 Arlington Blvd Ste 300, Fairfax, VA 22031 Phone: 703-560-1611 Fax: 703-573-0210 | |
Dr. Khoi T Vu, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center, Fairfax, VA 22033 Phone: 703-934-5720 Fax: 703-934-5778 | |
Dana Michelle Block-abraham, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr Ste 301, Fairfax, VA 22031 Phone: 703-698-5350 Fax: 703-204-1074 |