| 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 |
| Experience | 42 Years |
| Location | 3 Riverside Cir, Roanoke, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion Medical Center | Roanoke, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carilion Healthcare Corporation | 5890607253 | 445 |
| Carilion Medical Center | 9830096585 | 914 |
| Entity Name | Carilion Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273 |
| Entity Name | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472 |
| Entity Name | Carilion Franklin Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710970918 PECOS PAC ID: 3173501269 Enrollment ID: O20040714000029 |
| Entity Name | Carilion Giles Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20070516000487 |
| 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: Accepting Medicare Assignments 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: Not Enrolled in Medicare 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 |