Dr Matthew Richard Russell, MD in Olympia, WA

Dr Matthew Richard Russell, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Olympia, Washington. His current practice location is 700 Lilly Rd Ne, Olympia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 923-7000.

Dr Matthew Richard Russell is licensed to practice in Washington (license number MD61452396) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225473077.

Contact Information

	Dr Matthew Richard Russell, MD
	700 Lilly Rd Ne, Olympia, WA 98506-5115
	(360) 923-7000
	(360) 923-7089

Map and Direction

Physician's Profile

Full Name	Dr Matthew Richard Russell
Gender	Male
Speciality	Pediatrics - Pediatric Cardiology
Location	700 Lilly Rd Ne, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225473077
Provider Enumeration Date: 05/07/2013
Last Update Date: 04/24/2024

Medicare PECOS Information:

PECOS PAC ID: 8527393875
Enrollment ID: I20190710000526

Medical Identifiers

Medical identifiers for Dr Matthew Richard Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225473077	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0202X	Pediatrics - Pediatric Cardiology	A133403 (California)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	MD61452396 (Washington)	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 Matthew Richard Russell allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Matthew Richard 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 Matthew Richard Russell, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Dr Matthew Richard Russell, MD 700 Lilly Rd Ne, Olympia, WA 98506-5115 Ph: (360) 923-7000

Reviews and Comments

Pediatrics Doctors in Olympia, WA

Dr. Amy Z Belko, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3434 12th Ave Ne, Olympia, WA 98506 Phone: 360-413-8470 Fax: 360-413-8490
Dr. Bradford Douglas Stephens, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3434 12th Ave Ne, Olympia, WA 98506 Phone: 360-413-8470 Fax: 360-413-8490
Dr. Lisa Marie Steinman Barer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1920 Black Lake Blvd Sw, Olympia, WA 98512 Phone: 360-534-9222 Fax: 360-534-9223
Dr. Sarah Anita Lopez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3516 12th Ave Ne, Olympia, WA 98506 Phone: 360-918-0604
Dr. Lin Jiang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2112 Caton Way Sw, Olympia, WA 98502 Phone: 360-754-1629
Henry L Degive, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3516 12th Ave Ne, Olympia, WA 98506 Phone: 360-918-0604 Fax: 360-456-6504
Dr. Adam Haim Boldt, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3434 12th Ave Ne, Olympia, WA 98506 Phone: 360-413-8470 Fax: 360-413-8490

Dr Matthew Richard Russell, MD - Medicare Pediatrics in Olympia, WA