- Medicare Primary Care in Ruckersville, VA

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is a medicare enrolled primary clinic (Nurse Practitioner - Gerontology) in Ruckersville, Virginia. The current practice location for is 179 London Ct, Ruckersville, Virginia. For appointments, you can reach them via phone at (434) 249-9752. The mailing address for is 179 London Ct, Ruckersville, Virginia and phone number is (434) 249-9752.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1932973021. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (434) 249-9752.

Contact Information

179 London Ct
Ruckersville
VA 22968-3367
(434) 249-9752
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityNurse Practitioner
Location179 London Ct, Ruckersville, Virginia
Authorized Official Name and PositionTilahun Mekonnen Goshu (CEO)
Authorized Official Contact4342499752
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

179 London Ct
Ruckersville
VA 22968-3367

Ph: (434) 249-9752
179 London Ct
Ruckersville
VA 22968-3367

Ph: (434) 249-9752

NPI Details:

NPI Number1932973021
Provider Enumeration Date11/09/2023
Last Update Date03/04/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7618327081
Medicare Enrollment IDO20231227001801

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932973021NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207RN0300XInternal Medicine - Nephrology (* (Not Available))Secondary
363LA2100XNurse Practitioner - Acute Care (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LG0600XNurse Practitioner - Gerontology (* (Not Available))Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameMesele Alemu Gebreyes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114150067
PECOS PAC ID: 2062559206
Enrollment ID: I20091021000353
Provider NameAnnette G Tarpley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629370895
PECOS PAC ID: 3577746106
Enrollment ID: I20110321000007
Provider NameYalemwork Yigzaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649677394
PECOS PAC ID: 9931423605
Enrollment ID: I20150129000454
Provider NameTilahun Goshu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336628551
PECOS PAC ID: 2567700107
Enrollment ID: I20190206002779
Provider NameSolomon Okwueze
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700554763
PECOS PAC ID: 7618369794
Enrollment ID: I20221102003403

Reviews and Comments


Nurse Practitioner in Ruckersville, VA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.