Danielle Nicole Russell, MED | |
718 W Mccarty St, Jefferson City, MO 65101-1544 | |
(573) 690-4511 | |
Not Available |
Full Name | Danielle Nicole Russell |
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Gender | Female |
Speciality | Counselor |
Location | 718 W Mccarty St, Jefferson City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609206960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 2013041568 (Missouri) | Primary |
Entity Name | Richland Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891931978 PECOS PAC ID: 2062554025 Enrollment ID: O20100525000793 |
Mailing Address | Practice Location Address |
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Danielle Nicole Russell, MED 114 N Polk St, Jefferson City, MO 65101-4240 Ph: (573) 690-4511 | Danielle Nicole Russell, MED 718 W Mccarty St, Jefferson City, MO 65101-1544 Ph: (573) 690-4511 |
Ms. Alane Elizabeth Roath, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Metro Dr, Jefferson City, MO 65109 Phone: 888-403-1071 | |
Stephen Dittmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Metro Dr, Jefferson City, MO 65109 Phone: 888-403-1071 | |
Susan Diane Morgan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Metro Dr Ste B, Jefferson City, MO 65109 Phone: 573-634-4591 Fax: 573-634-4792 | |
Rhonda Karyl Myers, PLPC Counselor Medicare: Medicare Enrolled Practice Location: 204 Metro Dr, Suite B, Jefferson City, MO 65109 Phone: 573-634-4591 Fax: 573-634-4792 | |
Adam Hatton, Counselor Medicare: Medicare Enrolled Practice Location: 210 Hoover St, Jefferson City, MO 65109 Phone: 573-632-4321 | |
Chloe Payton Rimer, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1905 Stadium Blvd, Jefferson City, MO 65109 Phone: 888-403-1071 | |
Gail R Black, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2202 Marilyn Dr, Jefferson City, MO 65109 Phone: 573-469-5263 |