Dr John R Russell, MD is a medicare enrolled "Hospitalist" physician in Lake Village, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 1975 and has 49 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southeast Rehab Llc. and his current practice location is
608 S Highway 65 82, Lake Village, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 265-9810.
Dr John R Russell is licensed to practice in Arkansas (license number C4971) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952380651.
Physician's Profile
| Full Name | Dr John R Russell |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 49 Years |
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| Location | 608 S Highway 65 82, Lake Village, Arkansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr John R Russell attended and graduated from University Of Arkansas College Of Medicine in 1975
NPI Data:
- NPI Number: 1952380651
- Provider Enumeration Date: 01/11/2006
- Last Update Date: 10/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022086404
- Enrollment ID: I20100708000709
Medical Identifiers
Medical identifiers for Dr John R Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952380651 | NPI | - | NPPES |
| 101410001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | C4971 (Arkansas) | Secondary |
| 208M00000X | Hospitalist | C4971 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southeast Rehab Llc. | 6709884604 | 2 |
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 John R Russell allows following entities to bill medicare on his behalf.
| Entity Name | Arkansas Emergency Staffing Solutions Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275774630
PECOS PAC ID: 3274681341
Enrollment ID: O20090501000014 |
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| Entity Name | Ess Hospitalist Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881967305
PECOS PAC ID: 6103085295
Enrollment ID: O20120308000726 |
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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 John R 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 |
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Dr John R Russell, MD
2918 Louis Sessions Street,
Lake Village, AR 71653
Ph: (870) 265-5343 | Dr John R Russell, MD
608 S Highway 65 82,
Lake Village, AR 71653-1743
Ph: (870) 265-9810 |
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