Cory L Russell, DO in Roseburg, OR - Medicare Family Practice

Cory L Russell, DO is a medicare enrolled "Family Medicine" physician in Roseburg, Oregon. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Centennial Medical Group East Llc and his current practice location is 2570 Nw Edenbower Blvd., Ste 100, Roseburg, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 957-1111.

Cory L Russell is licensed to practice in Oregon (license number DO169293) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790748028.

Contact Information

	Cory L Russell, DO
	2570 Nw Edenbower Blvd., Ste 100, Roseburg, OR 97471
	(541) 957-1111
	(541) 229-3335

Map and Direction

Physician's Profile

Full Name	Cory L Russell
Gender	Male
Speciality	Family Practice
Experience	28 Years
Location	2570 Nw Edenbower Blvd., Roseburg, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Cory L Russell attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1996

NPI Data:

NPI Number: 1790748028
Provider Enumeration Date: 04/08/2006
Last Update Date: 06/24/2015

Medicare PECOS Information:

PECOS PAC ID: 3678604170
Enrollment ID: I20150213001235

Medical Identifiers

Medical identifiers for Cory L Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790748028	NPI	-	NPPES
1102877	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	DO169293 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Medical Center	Roseburg, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centennial Medical Group East Llc	9234397878	55

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Cory L Russell allows following entities to bill medicare on his behalf.

Entity Name	Centennial Medical Group East Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134436637 PECOS PAC ID: 9234397878 Enrollment ID: O20120228000510

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. Cory L 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
Cory L Russell, DO 2570 Nw Edenbower Blvd., Ste 100, Roseburg, OR 97471 Ph: (541) 957-1111	Cory L Russell, DO 2570 Nw Edenbower Blvd., Ste 100, Roseburg, OR 97471 Ph: (541) 957-1111

Reviews and Comments

Family Medicine Doctors in Roseburg, OR

Misha Marie Peel, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 Phone: 541-672-9596
Dr. John Travis Melling, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 Phone: 541-672-9596 Fax: 541-646-3519
Candace Marie Hatton, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 272 Nw Medical Loop Ste B, Roseburg, OR 97471 Phone: 541-537-8007
Dr. Brandon W Bonds, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309
Dr. Marie Hebert, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 340 Nw Medical Loop, Roseburg, OR 97471 Phone: 541-464-5907 Fax: 541-464-8481
Dr. Gerald Andrew Jaworski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2282 Nw Troost St, Ste. 101, Roseburg, OR 97471 Phone: 541-673-0609 Fax: 541-440-9387
Dr. Derwood E Basham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2371 Ne Stephens St, Suite 200, Roseburg, OR 97470 Phone: 541-672-8533 Fax: 541-672-4993

Cory L Russell, DO - Medicare Family Practice in Roseburg, OR