Wesley A Russell Ii, DDS is a
Dentist based in Shelbina, Missouri. Wesley A Russell Ii is licensed to practice in Missouri (license number 13349) and his current practice location is
403 S Center, Shelbina, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 588-4322.
NPI number for Wesley A Russell Ii is 1861614018 and his current mailing address is 403 S Center, Shelbina, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861614018.
Healthcare Provider's Profile
| Full Name | Wesley A Russell Ii |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 403 S Center, Shelbina, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861614018
- Provider Enumeration Date: 05/03/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Wesley A Russell Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861614018 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 13349 (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. Wesley A Russell Ii 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 |
|---|
Wesley A Russell Ii, DDS
403 S Center,
Shelbina, MO 63468-0276
Ph: (573) 588-4322 | Wesley A Russell Ii, DDS
403 S Center,
Shelbina, MO 63468-0276
Ph: (573) 588-4322 |
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