Dr Susan R Russell, MD | |
25 Church St, Wilkes Barre, PA 18702-3507 | |
(570) 808-3100 | |
(570) 808-8845 |
Full Name | Dr Susan R Russell |
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Gender | Female |
Speciality | Family Medicine |
Location | 25 Church St, Wilkes Barre, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700842754 | NPI | - | NPPES |
001484141 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD044347E (Pennsylvania) | Primary |
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
---|---|
Dr Susan R Russell, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Dr Susan R Russell, MD 25 Church St, Wilkes Barre, PA 18702-3507 Ph: (570) 808-3100 |
Jason Raymond Woloski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 166 Hanover St, Wilkes Barre, PA 18702 Phone: 570-808-8780 Fax: 570-825-8785 | |
Weber Wu, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 S Wilkes Barre Blvd, Wilkes Barre, PA 18702 Phone: 570-829-2621 Fax: 570-823-4332 | |
John George Birmer, CRRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 84 W South St, Wilkes Barre, PA 18766 Phone: 570-954-6476 | |
Dr. Melita Konecke, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-552-7260 Fax: 570-552-7268 | |
Dr. Arundev D Desai, MBBS Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1111 E End Blvd, Wilkes Barre, PA 18711 Phone: 570-824-3521 | |
Stephanie A Gill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 169 N Pennsylvania Ave, Wilkes Barre, PA 18701 Phone: 570-491-0126 Fax: 570-230-0013 | |
Madhavi Madhurapantula, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 25 Church St, Wilkes Barre, PA 18765 Phone: 570-808-3181 Fax: 570-808-8935 |