Dr Jason Luther Russell, DO | |
332 Congress Park Dr, Dayton, OH 45459-4133 | |
(937) 312-3627 | |
Not Available |
Full Name | Dr Jason Luther Russell |
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Gender | Male |
Speciality | Emergency Medicine - Medical Toxicology |
Location | 332 Congress Park Dr, Dayton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194939447 | NPI | - | NPPES |
2935042 | Medicaid | OH |
Entity Name | Pediatric Academic Association, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
Entity Name | Ohio Emergency Professionals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
Entity Name | Ohio Emergency Care Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184028524 PECOS PAC ID: 1658695424 Enrollment ID: O20150127000965 |
Mailing Address | Practice Location Address |
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Dr Jason Luther Russell, DO 332 Congress Park Dr, Dayton, OH 45459-4133 Ph: () - | Dr Jason Luther Russell, DO 332 Congress Park Dr, Dayton, OH 45459-4133 Ph: (937) 312-3627 |
Lara Martinez, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Grand Ave, Dayton, OH 45405 Phone: 937-723-3245 | |
David Michael Miranda, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Woodman Dr, Dayton, OH 45432 Phone: 937-424-2215 Fax: 937-252-1224 | |
Dr. Daniel Phillip Pitstick, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-3356 | |
Dr. William R. Marriott, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 513-281-4400 Fax: 513-587-8213 | |
Douglas E Reynolds, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-3356 | |
Dr. Richmond Lemos, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 513-281-4400 Fax: 513-587-8213 | |
Mary J Erickson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3321 Fax: 937-641-4410 |