Dr Philip Hostage Russell, DMD is a
Dentist - General Practice based in Manchester, Vermont. Dr Philip Hostage Russell is licensed to practice in Vermont (license number 016-0000760) and his current practice location is
4313 Main St., Manchester, Vermont. He can be reached at his office (for appointments etc.) via phone at
(802) 362-2151.
NPI number for Dr Philip Hostage Russell is 1861526568 and his current mailing address is Po Box 586, Manchester, Vermont. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861526568.
Healthcare Provider's Profile
Full Name | Dr Philip Hostage Russell |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 4313 Main St., Manchester, Vermont |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861526568
- Provider Enumeration Date: 03/15/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Philip Hostage Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861526568 | NPI | - | NPPES |
919-2393 | Medicaid | VT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 016-0000760 (Vermont) | 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. Dr Philip Hostage 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 |
Dr Philip Hostage Russell, DMD Po Box 586, Manchester, VT 05254-0586 Ph: (802) 362-2151 | Dr Philip Hostage Russell, DMD 4313 Main St., Manchester, VT 05254 Ph: (802) 362-2151 |
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