Dr Robert Burke Russell, MD | |
29 L V Stabler Dr, Greenville, AL 36037-3850 | |
(251) 968-7474 | |
Not Available |
Full Name | Dr Robert Burke Russell |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 29 L V Stabler Dr, Greenville, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710935663 | NPI | - | NPPES |
051556309 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 00004219 (Alabama) | Primary |
Entity Name | Immediate Care Foley, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508106592 PECOS PAC ID: 9830330695 Enrollment ID: O20130722000277 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Burke Russell, MD Po Box 689022, Franklin, TN 37068-9022 Ph: (615) 778-8468 | Dr Robert Burke Russell, MD 29 L V Stabler Dr, Greenville, AL 36037-3850 Ph: (251) 968-7474 |
Dr. Audrey Maria Hodge, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 29 L V Stabler Dr, Greenville, AL 36037 Phone: 334-382-2671 | |
Danny Trammel Hood, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 N College St, Greenville, AL 36037 Phone: 334-382-2681 Fax: 334-383-9884 | |
Dr. Wayne L. Martin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 29 L V Stabler Dr, Greenville, AL 36037 Phone: 334-284-2787 |