Daric J Russell, DO | |
3385 Potomac Way, Idaho Falls, ID 83404-4978 | |
(208) 522-7246 | |
(208) 529-2620 |
Full Name | Daric J Russell |
---|---|
Gender | Male |
Speciality | Pain Management |
Experience | 12 Years |
Location | 3385 Potomac Way, Idaho Falls, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154681633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 0-1036 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mountain View Hospital | Idaho falls, ID | Hospital |
Madison Memorial Hospital | Rexburg, ID | Hospital |
Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain View Hospital Llc | 4486562774 | 188 |
Entity Name | Mountain View Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
Entity Name | North Canyon Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609046671 PECOS PAC ID: 0941371439 Enrollment ID: O20090409000304 |
Entity Name | Teton Valley Health Care Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1477809622 PECOS PAC ID: 3870744956 Enrollment ID: O20121120000107 |
Mailing Address | Practice Location Address |
---|---|
Daric J Russell, DO 3385 Potomac Way, Idaho Falls, ID 83404-4978 Ph: (208) 522-7246 | Daric J Russell, DO 3385 Potomac Way, Idaho Falls, ID 83404-4978 Ph: (208) 522-7246 |
Dr. Don Weber, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6269 | |
Dr. Marcus Murphy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6111 | |
Jay M Tingey, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6269 | |
Dr. Christian D Monson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6775 | |
Dr. Daniel Philip Wiser Smith, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3385 Potomac Way, Idaho Falls, ID 83404 Phone: 208-522-7246 | |
David Paul Murray, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 970-215-8335 |