| Danyel Rucker, PA-C | |
|
1900 Electric Rd, Salem, VA 24153-7474 | |
| (540) 776-4970 | |
| Not Available |
| Full Name | Danyel Rucker |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 1900 Electric Rd, Salem, 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 |
|---|---|---|---|
| 1437120318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0110001408 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pai Participant 1 Llc | 8123351954 | 174 |
| Virginia Internal Medicine Inc | 4082869250 | 101 |
| Entity Name | Virginia Internal Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740525245 PECOS PAC ID: 4082869250 Enrollment ID: O20130220000224 |
| Entity Name | Ingleside Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144712662 PECOS PAC ID: 1355698317 Enrollment ID: O20180720002968 |
| Entity Name | Lake Spring Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215429600 PECOS PAC ID: 6406103498 Enrollment ID: O20180723001173 |
| Entity Name | Wildwood Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013409721 PECOS PAC ID: 4789932385 Enrollment ID: O20180730001151 |
| Entity Name | Kingsford Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336631480 PECOS PAC ID: 3870841117 Enrollment ID: O20180802003435 |
| Entity Name | Kingsford Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871088526 PECOS PAC ID: 0840541017 Enrollment ID: O20180927000385 |
| Entity Name | Pai Participant 1 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20211208001934 |
| Mailing Address | Practice Location Address |
|---|---|
| Danyel Rucker, PA-C 12 Gill St, Suite 3000, Woburn, MA 01801-1728 Ph: (781) 937-4522 | Danyel Rucker, PA-C 1900 Electric Rd, Salem, VA 24153-7474 Ph: (540) 776-4970 |
Portia S Tomlinson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 |
Mr. Paul Ashley Yeaman, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-983-1057 |
Mr. Andrew Thomas Tokarsky, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 |
Mrs. Kaitlin Scott Daniels, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Knotbreak Rd, Salem, VA 24153 Phone: 540-444-5670 Fax: 540-444-5669 |
Amy Betterton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 |
Anna Coffey Morris, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 |
Adam Lunnie, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-776-4970 |