Deidre Russell, MD | |
21300 N John Wayne Pkwy Ste 121, Maricopa, AZ 85139-8978 | |
(480) 821-3600 | |
(480) 857-2667 |
Full Name | Deidre Russell |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 34 Years |
Location | 21300 N John Wayne Pkwy Ste 121, Maricopa, Arizona |
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 |
---|---|---|---|
1467565341 | NPI | - | NPPES |
906341 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 48632 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Momdoc Llc | 3375534282 | 24 |
Entity Name | Momdoc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184780355 PECOS PAC ID: 3375534282 Enrollment ID: O20040520000050 |
Mailing Address | Practice Location Address |
---|---|
Deidre Russell, MD Po Box 6730, Chandler, AZ 85246-6730 Ph: (480) 821-3600 | Deidre Russell, MD 21300 N John Wayne Pkwy Ste 121, Maricopa, AZ 85139-8978 Ph: (480) 821-3600 |
Dr. Pavel Stoyanov Petkov, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 44765 W. Hathaway Ave., Maricopa, AZ 85138 Phone: 520-788-6100 Fax: 520-788-6140 | |
Dr. Bianca Smith, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 44765 West Hathaway Road, Maricopa, AZ 85139 Phone: 520-788-6100 Fax: 520-788-6140 | |
Erin Bradley Labesky-scoggin, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 17900 N Porter Rd, Maricopa, AZ 85138 Phone: 520-233-2500 | |
Lucianna Paola Cordeiro Araujo, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 21300 N John Wayne Pkwy Ste 121, Maricopa, AZ 85139 Phone: 480-821-3600 |