David Joseph Russell, MD | |
2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | |
(541) 274-2894 | |
(541) 274-3392 |
Full Name | David Joseph Russell |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 21 Years |
Location | 2200 Bryant Williams Dr, Klamath Falls, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578727996 | NPI | - | NPPES |
024213 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A89958 (California) | Secondary |
2086S0129X | Surgery - Vascular Surgery | MD28531 (Oregon) | Secondary |
208600000X | Surgery | MD28531 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
David Joseph Russell, MD Po Box 5109, Klamath Falls, OR 97601-0119 Ph: (541) 882-1540 | David Joseph Russell, MD 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 Ph: (541) 274-2894 |
Dr. Mark F Bradbury, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2604 Clover St, Klamath Falls, OR 97601 Phone: 541-274-2888 Fax: 541-884-1628 | |
Dr. Stanton T Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 Bryant Williams Dr, Klamath Falls, OR 97601 Phone: 541-274-2345 Fax: 541-274-4666 | |
Raul A Mirande, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2664 Campus Dr, Klamath Falls, OR 97601 Phone: 541-880-2881 Fax: 541-883-2250 | |
Marc D Orlando, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 Bryant Williams Dr #220, Klamath Falls, OR 97601 Phone: 541-850-2032 Fax: 541-884-3673 | |
Andrea R Moore, PA-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 3810 S 6th St Ste 210, Klamath Falls, OR 97603 Phone: 458-232-1854 Fax: 458-232-1855 | |
George Craig Merhoff Sr., Surgery Medicare: Not Enrolled in Medicare Practice Location: 6090 Sunset Ridge Rd, Klamath Falls, OR 97601 Phone: 541-883-3059 |