Dr Ty D Russell, DC is a medicare enrolled "Chiropractor" provider in Gravette, Arkansas. His current practice location is
207 Atlanta Street S.e., Gravette, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 787-7555.
Dr Ty D Russell is licensed to practice in Arkansas (license number 15,726) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487961322.
Healthcare Provider's Profile
| Full Name | Dr Ty D Russell |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 207 Atlanta Street S.e., Gravette, Arkansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ty D Russell attended and graduated from in
NPI Data:
- NPI Number: 1487961322
- Provider Enumeration Date: 09/13/2010
- Last Update Date: 09/17/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Ty D Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487961322 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 15,726 (Arkansas) | 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. Dr Ty D Russell is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ty D Russell, DC
207 Atlanta Street S.e.,
Gravette, AR 72736
Ph: (479) 787-7555 | Dr Ty D Russell, DC
207 Atlanta Street S.e.,
Gravette, AR 72736
Ph: (479) 787-7555 |
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