Dr James Davis Russell, MD is a
General Practice physician based in Blytheville, Arkansas. Dr James Davis Russell is licensed to practice in Arkansas (license number C4640) and his current practice location is 1521 N 10th St, Ste C, Blytheville, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(870) 762-5360.
NPI number for Dr James Davis Russell is 1497724223 and his current mailing address is 1521 N 10th St, Ste C, Blytheville, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497724223.
Physician's Profile
Full Name | Dr James Davis Russell |
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Gender | Male |
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Speciality | General Practice |
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Location | 1521 N 10th St, Blytheville, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497724223
- Provider Enumeration Date: 03/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr James Davis Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497724223 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | C4640 (Arkansas) | Primary |
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 James Davis Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr James Davis Russell, MD 1521 N 10th St, Ste C, Blytheville, AR 72315-1405 Ph: (870) 762-5360 | Dr James Davis Russell, MD 1521 N 10th St, Ste C, Blytheville, AR 72315-1405 Ph: (870) 762-5360 |
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