Dr Patrick W Russell, DO | |
615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601-1033 | |
(574) 647-3050 | |
(574) 647-1094 |
Full Name | Dr Patrick W Russell |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 615 N Michigan St, South Bend, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144205113 | NPI | - | NPPES |
000000215919 | Other | IN | BLUE SHIELD |
100114080 | Medicaid | IN | |
130024231 | Other | IN | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 02001219 (Indiana) | Primary |
Entity Name | Beacon Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
Mailing Address | Practice Location Address |
---|---|
Dr Patrick W Russell, DO 1219 Greenleaf Blvd, Elkhart, IN 46514-1365 Ph: (574) 536-4753 | Dr Patrick W Russell, DO 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601-1033 Ph: (574) 647-3050 |
Dr. Kathryn A. Hanlon, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601 Phone: 574-647-8800 Fax: 574-647-8811 | |
Dr. James P Schalliol I, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 150 W Angela Blvd, South Bend, IN 46617 Phone: 574-232-5237 Fax: 574-232-5386 | |
Dr. Bridget Patterson-marshall, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-3050 Fax: 574-647-1094 | |
Brian K Esch, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 218 W. Washington St.,, Suite 430, South Bend, IN 46601 Phone: 574-282-1060 Fax: 866-354-6402 | |
Hillary Davis, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 707 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8470 Fax: 574-647-8475 | |
Kearn David Hinchman, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 53779 Generations Drive, Suite 1, South Bend, IN 46635 Phone: 574-258-6316 Fax: 574-258-6307 |