Dr Kathryn White Russell, MD in Philadelphia, PA

Dr Kathryn White Russell, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Philadelphia, Pennsylvania. Her current practice location is 3401 Civic Center Blvd, Division Of Pediatric Surgery, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 590-1190.

Dr Kathryn White Russell is licensed to practice in Pennsylvania (license number MT207856) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750518049.

Contact Information

	Dr Kathryn White Russell, MD
	3401 Civic Center Blvd, Division Of Pediatric Surgery, Philadelphia, PA 19104-4319
	(215) 590-1190
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kathryn White Russell
Gender	Female
Speciality	Surgery - Pediatric Surgery
Location	3401 Civic Center Blvd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750518049
Provider Enumeration Date: 06/15/2009
Last Update Date: 11/17/2021

Medicare PECOS Information:

PECOS PAC ID: 4385876135
Enrollment ID: I20170726003669

Medical Identifiers

Medical identifiers for Dr Kathryn White Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750518049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0120X	Surgery - Pediatric Surgery	MT207856 (Pennsylvania)	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 Kathryn White Russell allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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 Kathryn White 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 Kathryn White Russell, MD 3401 Civic Center Blvd, Division Of Pediatric Surgery, Philadelphia, PA 19104-4319 Ph: (215) 590-1190	Dr Kathryn White Russell, MD 3401 Civic Center Blvd, Division Of Pediatric Surgery, Philadelphia, PA 19104-4319 Ph: (215) 590-1190

Reviews and Comments

Surgery Doctors in Philadelphia, PA

Elizabeth Diane Dauer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-3133 Fax: 215-707-2915
Dr. Susete Carneiro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 201-317-3485
Victor Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 215-823-5800
Jovanna Micole Linnen, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 245 N 15th St, Room 7150, Philadelphia, PA 19102 Phone: 215-762-3585 Fax: 215-762-3058
Simran Kripalani, MD Surgery Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-717-2000
Adrian W Ong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 2 Dulles, Philadelphia, PA 19104 Phone: 215-662-7320 Fax: 412-359-8639
Rajeev Prasad, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Erie Ave At Front St, Scpa General Surgery, Philadelphia, PA 19134 Phone: 215-427-5446 Fax: 215-427-4616

Dr Kathryn White Russell, MD - Medicare Surgery in Philadelphia, PA