Brenda Renee Russell, DO | |
6046 Whipple Ave Nw, North Canton, OH 44720-7616 | |
(330) 433-1311 | |
(330) 477-7783 |
Full Name | Brenda Renee Russell |
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Gender | Female |
Speciality | Family Medicine |
Location | 6046 Whipple Ave Nw, North Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1548899511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34.0016765 (Ohio) | Primary |
Entity Name | Aultman North Canton Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245257088 PECOS PAC ID: 4082605266 Enrollment ID: O20040518001528 |
Mailing Address | Practice Location Address |
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Brenda Renee Russell, DO Po Box 80690, Canton, OH 44708-0690 Ph: (330) 363-7444 | Brenda Renee Russell, DO 6046 Whipple Ave Nw, North Canton, OH 44720-7616 Ph: (330) 433-1311 |
Dr. Dalson H Seibert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4860 Frank Rd Nw, North Canton, OH 44720 Phone: 330-494-7099 Fax: 330-494-2147 | |
Kyle Christopher Farley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4860 Frank Ave Nw, North Canton, OH 44720 Phone: 330-494-7099 Fax: 330-494-2147 | |
Dr. Gust Pantelas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6512 Whipple Ave Nw, North Canton, OH 44720 Phone: 330-499-5600 | |
Dr. Matthew Licause, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6512 Whipple Ave Nw, North Canton, OH 44720 Phone: 330-499-5600 | |
Diana Silvia Tec, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Seventh St. Sw, North Canton, OH 44710 Phone: 330-363-6242 Fax: 330-453-4263 | |
Dr. Thomas A Shemory, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4860 Frank Rd Nw, North Canton, OH 44720 Phone: 330-494-7099 Fax: 330-494-2147 | |
Dr. Paul Streiner Donaldson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6225 Frank Ave Nw, North Canton, OH 44720 Phone: 330-497-6555 Fax: 330-497-3281 |