Emma Rudebusch, MD
Individual provider Active NPI Family Medicine Physician · Blackstone, VA
NPI 1780144196 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1780144196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 323237 (NY)
- Practice address
- 213 N Main St
Blackstone, VA 23824-1425 - Phone
- (434) 292-7261
- NPI assigned
- Mar 21, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 23
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Eastern Virginia Medical School, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bon Secours St Francis Medical Center LLC
Bon Secours Medical Group Richmond Primary Care LLC
Practice addresses (Care Compare)
13540 Hull St Rd
Midlothian, VA 23112-2107
Phone (804) 739-6142
1362 Tappahannock Blvd
Tappahannock, VA 22560-9309
Phone (804) 443-5378
213 N Main St
Blackstone, VA 23824-1425
Phone (434) 292-7261
611 Watkins Centre Pkwy
Suite 250
Midlothian, VA 23114-4404
Phone (804) 423-8470
Hospital & facility affiliations
- Amedisys Home Health
- Bon Secours St Francis Medical Center
- Bon Secours St Marys Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240821002898 | VA | Practitioner - Family Practice | 0244567196 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours St. Francis Medical Center LLC | Family Medicine | Current |
Accepting new patients |
| Bon Secours St. Francis Medical Center LLC | Current |
Accepting new patients | |
| Bon Secours Medical Group Richmond Primary Care LLC | Family Medicine | Current |
Accepting new patients |
| Bon Secours St. Francis Medical Center LLC | Current | Accepting new patients | |
| Commonwealth Counseling Associates Inc | Past | Accepting new patients |
Locations
213 N Main St
Blackstone, VA 23824
Phone (434) 292-7261
611 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 423-8470
13540 Hull Street Rd
Midlothian, VA 23112
Phone (804) 595-1400
1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378
Interoperability endpoints
- erudebusch2386902@direct.trinity-health.org
- erudebusch2667396@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101282768 | VA | |
| Family Medicine Physician | 207Q00000X | 323237 | NY | Yes |
Addresses
Primary practice location
213 N Main St
Blackstone, VA 23824-1425
Mailing address
213 N Main St
Blackstone, VA 23824-1425
Phone (434) 292-7261
Other providers in Blackstone, VA
- Nottoway Innovative Medical Solutions
- Nikhila N Pai
- Phillip D Prater DDD PLLC
- Gabrielle Tiarra Qahhar
- Mark George Reitz
- S & S Health Care, Inc.
- Safe Helping Hands LLC
- Michaela Nicole Cruz San Juan
- Rauan Satbekov
- Specialty Healthcare
All providers in Blackstone, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.