Renny Beau Russell, DC is a
Chiropractor based in Pleasant Valley, Missouri. Renny Beau Russell is licensed to practice in Missouri (license number 2008015663) and his current practice location is
6624 Royal St, Pleasant Valley, Missouri. He can be reached at his office (for appointments etc.) via phone at
(816) 824-9690.
NPI number for Renny Beau Russell is 1003905456 and his current mailing address is 8009 Ne 105th Ter, Kansas City, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003905456.
Healthcare Provider's Profile
Full Name | Renny Beau Russell |
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Gender | Male |
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Speciality | Chiropractor |
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Location | 6624 Royal St, Pleasant Valley, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003905456
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 04/16/2024
Medical Identifiers
Medical identifiers for Renny Beau Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003905456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 3841 (Oklahoma) | Secondary |
111N00000X | Chiropractor | 2008015663 (Missouri) | 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. Renny Beau Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Renny Beau Russell, DC 8009 Ne 105th Ter, Kansas City, MO 64157-9100 Ph: (816) 824-9690 | Renny Beau Russell, DC 6624 Royal St, Pleasant Valley, MO 64068-8711 Ph: (816) 824-9690 |
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