Douglas Charles Russell, is a
Community Health Worker based in San Francisco, California. Douglas Charles Russell is licensed to practice in * (Not Available) (license number ) and his current practice location is
1282 Market St, San Francisco, California. He can be reached at his office (for appointments etc.) via phone at
(415) 579-3021.
NPI number for Douglas Charles Russell is 1477113744 and his current mailing address is 1282 Market St, San Francisco, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477113744.
Healthcare Provider's Profile
| Full Name | Douglas Charles Russell |
|---|
| Gender | Male |
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| Speciality | Community Health Worker |
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| Location | 1282 Market St, San Francisco, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1477113744
- Provider Enumeration Date: 06/18/2019
- Last Update Date: 11/03/2021
Medical Identifiers
Medical identifiers for Douglas Charles Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477113744 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1353500719 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | 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. Douglas Charles 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 |
|---|
Douglas Charles Russell,
1282 Market St,
San Francisco, CA 94102-4801
Ph: (415) 579-3021 | Douglas Charles Russell,
1282 Market St,
San Francisco, CA 94102-4801
Ph: (415) 579-3021 |
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