David Petrovich Rusev, is a medicare enrolled "Physician Assistant" physician in Concord, North Carolina. His current practice location is
920 Church St N, Concord, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 403-3000.
David Petrovich Rusev is licensed to practice in North Carolina (license number 0010-12804) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104468966.
Physician's Profile
| Full Name | David Petrovich Rusev |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 920 Church St N, Concord, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104468966
- Provider Enumeration Date: 10/14/2019
- Last Update Date: 07/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 3779988787
- Enrollment ID: I20210827003073
Medical Identifiers
Medical identifiers for David Petrovich Rusev such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104468966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | MA06250 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 0010-12804 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Petrovich Rusev is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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David Petrovich Rusev,
Po Box 896244,
Charlotte, NC 28289-6244
Ph: (866) 282-7905 | David Petrovich Rusev,
920 Church St N,
Concord, NC 28025-2927
Ph: (704) 403-3000 |
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