Dr Brian K Russell, MD | |
100 Mimosa Dr Ste 110, Thomasville, GA 31792-6676 | |
(850) 999-4894 | |
(850) 668-0572 |
Full Name | Dr Brian K Russell |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 42 Years |
Location | 100 Mimosa Dr Ste 110, Thomasville, Georgia |
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 |
---|---|---|---|
1396834271 | NPI | - | NPPES |
036078323 | Medicaid | IL |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
Piedmont Columbus Regional Northside | Columbus, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Brain And Spine Surgery Pc | 3870563604 | 4 |
Entity Name | Southeast Brain & Spine Surgery Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023175999 PECOS PAC ID: 3870563604 Enrollment ID: O20040729000291 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian K Russell, MD 3445 Bannerman Rd Ste 200, Tallahassee, FL 32312-7053 Ph: (850) 999-4894 | Dr Brian K Russell, MD 100 Mimosa Dr Ste 110, Thomasville, GA 31792-6676 Ph: (850) 999-4894 |
Winston Craig Clark, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 704 S Broad St, Thomasville, GA 31792 Phone: 229-584-5760 Fax: 229-584-5945 | |
Dr. Samantha Dayawansa, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 704 S Broad St, Thomasville, GA 31792 Phone: 229-584-5760 | |
Dr. Gerald N Kadis, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 S Broad St, Thomasville, GA 31792 Phone: 229-226-8880 Fax: 229-226-6342 |