Mr Rodolfo Baura Ceballos, MD is a
General Practice physician based in Marion, Virginia. Mr Rodolfo Baura Ceballos is licensed to practice in Virginia (license number 0101024299) and his current practice location is 1122 Culbert Drive, Marion, Virginia. He can be reached at his office (for appointments etc.) via phone at
(276) 783-7914.
NPI number for Mr Rodolfo Baura Ceballos is 1578654448 and his current mailing address is 1122 Culbert Drive, Marion, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578654448.
Physician's Profile
| Full Name | Mr Rodolfo Baura Ceballos |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 1122 Culbert Drive, Marion, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578654448
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Rodolfo Baura Ceballos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578654448 | NPI | - | NPPES |
| 062952 | Other | VA | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 0101024299 (Virginia) | Primary |
| 208D00000X | General Practice | 0101024299 (Virginia) | 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. Mr Rodolfo Baura Ceballos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Rodolfo Baura Ceballos, MD
1122 Culbert Drive,
Marion, VA 24354-4212
Ph: (276) 783-7914 | Mr Rodolfo Baura Ceballos, MD
1122 Culbert Drive,
Marion, VA 24354-4212
Ph: (276) 783-7914 |
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