David Julius Russell, DO | |
1617 N California St, Ste. 2f, Stockton, CA 95204-6117 | |
(209) 466-8546 | |
(209) 466-3335 |
Full Name | David Julius Russell |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 12 Years |
Location | 1617 N California St, Stockton, California |
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 |
---|---|---|---|
1659635134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 20A14817 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph's Medical Center Of Stockton | Stockton, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
P. Gill Obstetrics And Gynecology Medical Group, Inc. | 9133019755 | 11 |
Entity Name | P. Gill Obstetrics & Gynecology Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386636165 PECOS PAC ID: 9133019755 Enrollment ID: O20040317001320 |
Mailing Address | Practice Location Address |
---|---|
David Julius Russell, DO Po Box 1090, Lodi, CA 95241-1090 Ph: (209) 334-1800 | David Julius Russell, DO 1617 N California St, Ste. 2f, Stockton, CA 95204-6117 Ph: (209) 466-8546 |
Dr. Melba Agatep Berbano, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1801 E March Ln Ste C320, Stockton, CA 95210 Phone: 209-957-5888 Fax: 209-477-9339 | |
Dr. Charnpal S Mangat, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1617 N. California St., Ste. 2a, Stockton, CA 95204 Phone: 209-466-8546 Fax: 209-466-3335 | |
Dr. James Paul Ching Maganito, DO, MPH, MHA Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1617 N California St Ste 2a, Stockton, CA 95204 Phone: 209-334-1800 Fax: 209-334-2416 | |
La Toya Asha Luces, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10940 Trinity Pkwy, Ste C #329, Stockton, CA 95219 Phone: 209-561-7936 Fax: 209-439-5413 | |
Jennifer Thuy Ho Phung, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2545 W Hammer Ln, Stockton, CA 95209 Phone: 209-957-7050 | |
Kristen Leigh Patters, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-746-5562 | |
Karen Y Poirier-brode, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Obgyn A Suite 230 Second Floor, Stockton, CA 95210 Phone: 209-476-2080 |