Dr Demaura H Russell, MD | |
702 N Main St, Roxboro, NC 27573-4755 | |
(336) 599-9271 | |
(336) 599-0347 |
Full Name | Dr Demaura H Russell |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 14 Years |
Location | 702 N Main St, Roxboro, North Carolina |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114218492 | NPI | - | NPPES |
1114218492 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2013-01723 (North Carolina) | Secondary |
207Q00000X | Family Medicine | 2013-01723 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Hospice | Franklinton, NC | Hospice |
Maria Parham Medical Center | Henderson, NC | Hospital |
Warren Hills Nursing Center | Warrenton, NC | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hope Regional Medical Clinic | 2961735873 | 2 |
Impact Healthcare, P.a. | 3476810532 | 10 |
Entity Name | Vance Family Medicine Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619938479 PECOS PAC ID: 9436053014 Enrollment ID: O20040114000678 |
Entity Name | Apogee Medical Group North Carolina |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043518228 PECOS PAC ID: 7719162254 Enrollment ID: O20110427000840 |
Entity Name | Impact Healthcare, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124537246 PECOS PAC ID: 3476810532 Enrollment ID: O20171127002943 |
Entity Name | Hope Regional Medical Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710448006 PECOS PAC ID: 2961735873 Enrollment ID: O20190608000052 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503 |
Mailing Address | Practice Location Address |
---|---|
Dr Demaura H Russell, MD 702 N Main St, Roxboro, NC 27573-4755 Ph: (336) 599-9271 | Dr Demaura H Russell, MD 702 N Main St, Roxboro, NC 27573-4755 Ph: (336) 599-9271 |
James Elbert Winslow Jr., Family Medicine Medicare: Medicare Enrolled Practice Location: 609 Professional Dr, Roxboro, NC 27573 Phone: 336-599-9257 Fax: 336-599-2716 | |
Elyse Bullock O'connell, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 796 Doctors Ct, Roxboro, NC 27573 Phone: 336-598-0002 | |
Dr. Mark E Meijer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1427 N Main St, Roxboro, NC 27573 Phone: 336-322-7241 | |
Dr. Vijay R Dhoopati, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 911 Ridge Rd, Ste D, Roxboro, NC 27573 Phone: 919-467-7528 Fax: 919-467-1855 | |
Safwat Nasrat, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 702 N Main St, Roxboro, NC 27573 Phone: 336-599-9271 | |
Lisa Michelle Wilson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3762 Durham Rd, Suite B, Roxboro, NC 27573 Phone: 336-322-1024 Fax: 336-322-1022 | |
William Bellamy Olds, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 757 Carver Dr, Roxboro, NC 27573 Phone: 336-597-5553 Fax: 336-597-5034 |