Mark Richard Rugarber, FNP | |
205 E. Hirst Road, Suite 203, Purcellville, VA 20132-6602 | |
(540) 751-0255 | |
(540) 751-0466 |
Full Name | Mark Richard Rugarber |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 205 E. Hirst Road, Suite 203, Purcellville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326619669 | NPI | - | NPPES |
1326619669 | Medicaid | VA | |
30015421980002 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F06211748 (West Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024187734 (Virginia) | Primary |
Entity Name | Shenandoah Valley Medical System, Inc |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1083617823 PECOS PAC ID: 9739093097 Enrollment ID: O20031119000556 |
Mailing Address | Practice Location Address |
---|---|
Mark Richard Rugarber, FNP 224-d Cornwall Street, Nw., Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Mark Richard Rugarber, FNP 205 E. Hirst Road, Suite 203, Purcellville, VA 20132-6602 Ph: (540) 751-0255 |
Maria Michelle Soriano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 E. Hirst Road, Suite 203, Purcellville, VA 20132 Phone: 540-751-0255 Fax: 540-751-0466 | |
Rochelle Maguire, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 East Hirst Road, Suite 302, Purcellville, VA 20132 Phone: 540-338-7065 Fax: 540-338-9482 | |
Zorodzai Gutu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 N Maple Ave, Purcellville, VA 20132 Phone: 540-338-0032 Fax: 540-338-0176 | |
Amanda Marie Sallberg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 North Maple Avenue, Purcellville, VA 20132 Phone: 540-338-0177 | |
Mrs. Kelsey R Alford, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 Hirst Rd, Purcellville, VA 20132 Phone: 703-226-2290 Fax: 703-289-1420 | |
Amberleigh Ruth Winn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 E. Hirst Road, Suite 303, Purcellville, VA 20132 Phone: 540-338-9896 Fax: 540-338-8235 |