Dr Keith Wayne Russell, D O | |
1200 Ne 13th St, Oklahoma City, OK 73152-3277 | |
(405) 522-2368 | |
(405) 522-4120 |
Full Name | Dr Keith Wayne Russell |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1200 Ne 13th St, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1730270018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 19746 (Oklahoma) | Primary |
Entity Name | Millennium Medical Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245286285 PECOS PAC ID: 6204730856 Enrollment ID: O20040105000859 |
Mailing Address | Practice Location Address |
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Dr Keith Wayne Russell, D O 1200 Ne 13th St, Oklahoma City, OK 73152-3277 Ph: (405) 522-2368 | Dr Keith Wayne Russell, D O 1200 Ne 13th St, Oklahoma City, OK 73152-3277 Ph: (405) 522-2368 |
Lindsay Horn, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1140 N Hudson Ave, Oklahoma City, OK 73103 Phone: 405-858-2800 | |
Adil Tumbi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5251 | |
Matthew Michael Ryan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 800 N W 9th Street, Suite 100, Oklahoma City, OK 73106 Phone: 405-815-5050 Fax: 405-815-5051 | |
Dr. Meheroz H Rabadi, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 Fax: 405-456-1504 | |
Willis Holloway Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6613 N Meridian Ave, Oklahoma City, OK 73116 Phone: 405-603-8450 Fax: 405-603-8455 | |
Chauncey Atterberry, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 | |
Ethan D Lindsey, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1117 Nw 50th St, Oklahoma City, OK 73118 Phone: 405-842-4435 Fax: 405-842-2846 |