Dr Gary J Russell, MD in Boston, MA

Dr Gary J Russell, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Boston, Massachusetts. His current practice location is 55 Fruit St, Yaw 6, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 726-8705.

Dr Gary J Russell is licensed to practice in Massachusetts (license number 57051) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669463550.

Contact Information

	Dr Gary J Russell, MD
	55 Fruit St, Yaw 6, Boston, MA 02114-2621
	(617) 726-8705
	(617) 724-2710

Map and Direction

Physician's Profile

Full Name	Dr Gary J Russell
Gender	Male
Speciality	Pediatrics - Pediatric Gastroenterology
Location	55 Fruit St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669463550
Provider Enumeration Date: 10/31/2005
Last Update Date: 08/01/2012

Medicare PECOS Information:

PECOS PAC ID: 1355338476
Enrollment ID: I20040429000390

Medical Identifiers

Medical identifiers for Dr Gary J Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669463550	NPI	-	NPPES
3036430	Medicaid	MA
057051	Other	MA	TUFTS HEALTH PLAN
J07673	Other	MA	BCBS MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	57051 (Massachusetts)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	57051 (Massachusetts)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Gary J Russell allows following entities to bill medicare on his behalf.

Entity Name	Massachusetts General Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434

Entity Name	The General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gary J Russell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Gary J Russell, MD Po Box 9142, Charlestown, MA 02129-9142 Ph: (617) 726-8705	Dr Gary J Russell, MD 55 Fruit St, Yaw 6, Boston, MA 02114-2621 Ph: (617) 726-8705

Reviews and Comments

Pediatrics Doctors in Boston, MA

Puja Banka, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Bader 203, Boston, MA 02115 Phone: 617-355-6363
Angela M. Jacques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066
Dr. Elizabeth S Taglauer, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Cailyn Hereen Rood, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Dr. Alon Peltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Miki Nishitani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Vickren Pillay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000

Dr Gary J Russell, MD - Medicare Pediatrics in Boston, MA