Dr Russell Keith Perry, MD is a medicare enrolled "Allergy & Immunology" physician in Beaumont, Texas. His current practice location is
205 N 11th St, Beaumont, Texas. You can reach out to his office (for appointments etc.) via phone at
(409) 892-7090.
Dr Russell Keith Perry is licensed to practice in Texas (license number N3241) 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 1780770362.
Physician's Profile
| Full Name | Dr Russell Keith Perry |
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| Gender | Male |
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| Speciality | Allergy & Immunology |
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| Location | 205 N 11th St, Beaumont, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1780770362
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 02/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274679626
- Enrollment ID: I20091015000262
Medical Identifiers
Medical identifiers for Dr Russell Keith Perry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780770362 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 19074 (Mississippi) | Secondary |
| 207K00000X | Allergy & Immunology | N3241 (Texas) | 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 Russell Keith Perry allows following entities to bill medicare on his behalf.
| Entity Name | Russell Perry Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194125161
PECOS PAC ID: 9032580659
Enrollment ID: O20230118002385 |
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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 Russell Keith Perry 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 |
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Dr Russell Keith Perry, MD
205 N 11th St,
Beaumont, TX 77702-2213
Ph: (409) 892-7090 | Dr Russell Keith Perry, MD
205 N 11th St,
Beaumont, TX 77702-2213
Ph: (409) 892-7090 |
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