Dr Terri Anne Russell, MD is a
Pediatrics physician based in Lockhart, Texas. Dr Terri Anne Russell is licensed to practice in Texas (license number H4663) and her current practice location is 1105 S Medina St, Lockhart, Texas. She can be reached at her office (for appointments etc.) via phone at
(512) 376-9700.
NPI number for Dr Terri Anne Russell is 1700985553 and her current mailing address is 1105 S Medina St, Lockhart, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700985553.
Physician's Profile
| Full Name | Dr Terri Anne Russell |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics |
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| Location | 1105 S Medina St, Lockhart, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700985553
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 05/20/2024
Medical Identifiers
Medical identifiers for Dr Terri Anne Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700985553 | NPI | - | NPPES |
| 133066402 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | H4663 (Texas) | Primary |
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 Terri Anne Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Terri Anne Russell, MD
1105 S Medina St,
Lockhart, TX 78644-3259
Ph: (512) 376-9700 | Dr Terri Anne Russell, MD
1105 S Medina St,
Lockhart, TX 78644-3259
Ph: (512) 376-9700 |
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