| Dr Daniel B Rukstalis, MD | |
|
3 Riverside Cir, Roanoke, VA 24016-4955 | |
| (540) 224-5170 | |
| (540) 983-8212 |
| Full Name | Dr Daniel B Rukstalis |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 3 Riverside Cir, Roanoke, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245296375 | NPI | - | NPPES |
| 5921837 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 2012-02004 (North Carolina) | Secondary |
| 208800000X | Urology | 0101275901 (Virginia) | Primary |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel B Rukstalis, MD 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5715 | Dr Daniel B Rukstalis, MD 3 Riverside Cir, Roanoke, VA 24016-4955 Ph: (540) 224-5170 |
Yu Zhang, MD Urology Medicare: Medicare Enrolled Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 | |
David Andrew Kagey, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 102 Highland Ave Se, Suite 105, Roanoke, VA 24013 Phone: 540-343-8066 Fax: 540-343-5369 | |
Robert Andrew Whisnant, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 102 Highland Ave Se, Suite 105, Roanoke, VA 24013 Phone: 540-343-8066 Fax: 540-343-5369 | |
Dr. Joseph Michael Hayes, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1234 Franklin Rd Sw, Roanoke, VA 24016 Phone: 540-345-1561 Fax: 540-345-2112 | |
Mehrad Adibi, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 |