Mr Russell S Phillips, is a
Community Health Worker based in Stockton, California. Mr Russell S Phillips is licensed to practice in California (license number ) and his current practice location is
1212 N California St, Stockton, California. He can be reached at his office (for appointments etc.) via phone at
(209) 953-5436.
NPI number for Mr Russell S Phillips is 1184777492 and his current mailing address is 1212 N California St, Stockton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184777492.
Healthcare Provider's Profile
Full Name | Mr Russell S Phillips |
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Gender | Male |
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Speciality | Community Health Worker |
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Location | 1212 N California St, Stockton, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184777492
- Provider Enumeration Date: 01/19/2007
- Last Update Date: 12/21/2023
Medical Identifiers
Medical identifiers for Mr Russell S Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184777492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (California) | 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. Mr Russell S Phillips 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 |
Mr Russell S Phillips, 1212 N California St, Stockton, CA 95202-1552 Ph: (209) 953-5436 | Mr Russell S Phillips, 1212 N California St, Stockton, CA 95202-1552 Ph: (209) 953-5436 |
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