Rapha Medical Provider's Group is a medicare enrolled primary clinic (Nurse Practitioner - Gerontology) in Ruckersville, Virginia. The current practice location for Rapha Medical Provider's Group is 179 London Ct, Ruckersville, Virginia. For appointments, you can reach them via phone at
(434) 249-9752. The mailing address for Rapha Medical Provider's Group is 179 London Ct, Ruckersville, Virginia and phone number is (434) 249-9752.
Rapha Medical Provider's Group 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.
Primary Care Clinic Profile
| Full Name | Rapha Medical Provider's Group |
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| Speciality | Nurse Practitioner |
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| Location | 179 London Ct, Ruckersville, Virginia |
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| Authorized Official Name and Position | Tilahun Mekonnen Goshu (CEO) |
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| Authorized Official Contact | 4342499752 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Rapha Medical Provider's Group
179 London Ct
Ruckersville
VA 22968-3367
Ph: (434) 249-9752 | Rapha Medical Provider's Group
179 London Ct
Ruckersville
VA 22968-3367
Ph: (434) 249-9752 |
NPI Details:
| NPI Number | 1932973021 |
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| Provider Enumeration Date | 11/09/2023 |
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| Last Update Date | 03/04/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 7618327081 |
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| Medicare Enrollment ID | O20231227001801 |
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Medical Identifiers
Medical identifiers for Rapha Medical Provider's Group such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932973021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | (* (Not Available)) | Primary |
| 363LP0808X | Nurse 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.
Rapha Medical Provider's Group acts as a billing entity for following providers:
| Provider Name | Mesele Alemu Gebreyes |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1114150067
PECOS PAC ID: 2062559206
Enrollment ID: I20091021000353 |
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| Provider Name | Annette G Tarpley |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1629370895
PECOS PAC ID: 3577746106
Enrollment ID: I20110321000007 |
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| Provider Name | Yalemwork Yigzaw |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1649677394
PECOS PAC ID: 9931423605
Enrollment ID: I20150129000454 |
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| Provider Name | Tilahun Goshu |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1336628551
PECOS PAC ID: 2567700107
Enrollment ID: I20190206002779 |
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