Michael Shane Russell, DC | |
403 N Sixth Street, Ste 8 And Ste 9, West Monroe, LA 71291 | |
(318) 303-6142 | |
(318) 855-8453 |
Full Name | Michael Shane Russell |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 403 N Sixth Street, West Monroe, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568151082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1616 (Louisiana) | Primary |
Provider Name | Jdh Management Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083173470 PECOS PAC ID: 3375929698 Enrollment ID: O20221010001898 |
Mailing Address | Practice Location Address |
---|---|
Michael Shane Russell, DC 3517 Pegram Cir, Monroe, LA 71201-2159 Ph: (504) 583-0822 | Michael Shane Russell, DC 403 N Sixth Street, Ste 8 And Ste 9, West Monroe, LA 71291 Ph: (318) 303-6142 |
Louisiana Accident & Injury Care Chiropractor Medicare: Medicare Enrolled Practice Location: 410 N 7th St, West Monroe, LA 71291 Phone: 318-303-6142 Fax: 318-855-8453 | |
Frieden Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 2204 N 7th St, Ste A & B, West Monroe, LA 71291 Phone: 318-322-8535 Fax: 318-387-6610 | |
Dr. Conrad Martin Taylor, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3900 Cypress Street, Suite 13, West Monroe, LA 71291 Phone: 318-396-5558 Fax: 318-396-9119 | |
Daniel Joseph Donald, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1010 North 7th Street, Suite C, West Monroe, LA 71291 Phone: 318-322-5539 Fax: 318-322-3639 | |
Dr. John William Davis, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3602 Cypress St, West Monroe, LA 71291 Phone: 318-397-8805 Fax: 318-397-8809 | |
Ms. Jamie Osbon-mccullars, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 506 Wood St, West Monroe, LA 71291 Phone: 318-789-2302 Fax: 318-855-6562 | |
Dr. Steve E Crawford, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 3103 Cypress St Ste 4, West Monroe, LA 71291 Phone: 318-322-2250 Fax: 318-322-1114 |