Dr Robert L Russell, MD | |
305 Highway 51, Ridgeland, MS 39157-3428 | |
(601) 856-9980 | |
(601) 856-9994 |
Full Name | Dr Robert L Russell |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 39 Years |
Location | 305 Highway 51, Ridgeland, Mississippi |
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 |
---|---|---|---|
1528151610 | NPI | - | NPPES |
0015413 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 12039 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Quad Intermed Company Llc | 6709245954 | 50 |
Entity Name | First Intermed Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669406658 PECOS PAC ID: 5294629895 Enrollment ID: O20040213000105 |
Entity Name | Flowood River Oaks Hma Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801128798 PECOS PAC ID: 5890825004 Enrollment ID: O20100615000668 |
Entity Name | Mea Primary Care Plus, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750826210 PECOS PAC ID: 0941583728 Enrollment ID: O20170202001116 |
Entity Name | Quad Intermed Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952099913 PECOS PAC ID: 6709245954 Enrollment ID: O20230706000437 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert L Russell, MD 5606 Old Canton Rd, Jackson, MS 39211-4217 Ph: (601) 856-9980 | Dr Robert L Russell, MD 305 Highway 51, Ridgeland, MS 39157-3428 Ph: (601) 856-9980 |
Michael L Sanders, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 Highway 51 Unit A, Ridgeland, MS 39157 Phone: 601-790-7105 Fax: 601-790-7865 | |
Richard Price, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 Trace Colony Ste 2, Ridgeland, MS 39157 Phone: 601-992-3996 Fax: 769-300-3112 | |
Timothy Michael Quinn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 768 Avery Blvd N, Ridgeland, MS 39157 Phone: 601-487-6482 Fax: 601-487-6528 | |
Mrs. Sabrita Recheal Hopkins, NP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 133 Rivergate Cv, Ridgeland, MS 39157 Phone: 601-201-7522 | |
Kristi Kay Trimm, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1051 Highland Colony Pkwy Ste E, Ridgeland, MS 39157 Phone: 601-707-3737 | |
Rommel Asagwara, M.D., Family Medicine Medicare: Medicare Enrolled Practice Location: 1060 E County Line Rd Ste 1a, Ridgeland, MS 39157 Phone: 769-444-5673 |