Charity Penaloza Russell, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in La Quinta, California. Her current practice location is
78822 Highway 111, La Quinta, California. You can reach out to her office (for appointments etc.) via phone at
(760) 777-7701.
Charity Penaloza Russell is licensed to practice in California (license number A138855) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427468024.
Physician's Profile
Full Name | Charity Penaloza Russell |
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Gender | Female |
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Speciality | Preventive Medicine - Occupational Medicine |
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Location | 78822 Highway 111, La Quinta, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427468024
- Provider Enumeration Date: 05/05/2014
- Last Update Date: 04/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 0345464137
- Enrollment ID: I20140618000569
Medical Identifiers
Medical identifiers for Charity Penaloza Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427468024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 201379 (North Carolina) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | A138855 (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. Charity Penaloza Russell is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Charity Penaloza Russell, MD 78822 Highway 111, La Quinta, CA 92253 Ph: (760) 777-7701 | Charity Penaloza Russell, MD 78822 Highway 111, La Quinta, CA 92253 Ph: (760) 777-7701 |
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