Dr Raymond S Russell, MD | |
4000 Miamisburg Centerville Rd, Suite 405, Miamisburg, OH 45342-7615 | |
(937) 560-2011 | |
(937) 560-2012 |
Full Name | Dr Raymond S Russell |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 28 Years |
Location | 4000 Miamisburg Centerville Rd, Miamisburg, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447206933 | NPI | - | NPPES |
2169380 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 35073039 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kettering Medical Center - Sycamore | Miamisburg, OH | Hospital |
Kettering Medical Center | Kettering, OH | Hospital |
Grandview And Southview Hospitals | Dayton, OH | Hospital |
Soin Medical Center | Beaver creek, OH | Hospital |
Troy Hospital | Troy, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kettering Independent Medical Group Inc | 3173710936 | 577 |
Entity Name | Alliance Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
Entity Name | Metro Golden Medical, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649329368 PECOS PAC ID: 7911917737 Enrollment ID: O20060424000681 |
Entity Name | Kettering Independent Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
Mailing Address | Practice Location Address |
---|---|
Dr Raymond S Russell, MD 4000 Miamisburg Centerville Rd Ste 207, Miamisburg, OH 45342-3674 Ph: (937) 560-2011 | Dr Raymond S Russell, MD 4000 Miamisburg Centerville Rd, Suite 405, Miamisburg, OH 45342-7615 Ph: (937) 560-2011 |
Dr. Sharat C Kalvakota, MD Urology Medicare: Medicare Enrolled Practice Location: 4000 Miamisburg Centerville Rd Ste 450, Miamisburg, OH 45342 Phone: 937-560-2011 Fax: 937-562-2012 |