Dr Thomas Gerald Russell Jr, MD in Mayfield, KY

Dr Thomas Gerald Russell Jr, MD is a medicare enrolled "Emergency Medicine" physician in Mayfield, Kentucky. His current practice location is 1099 Medical Center Cir, Mayfield, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 251-4242.

Dr Thomas Gerald Russell Jr is licensed to practice in Kentucky (license number 27843) 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 1417080631.

Contact Information

	Dr Thomas Gerald Russell Jr, MD
	1099 Medical Center Cir, Mayfield, KY 42066-1159
	(270) 251-4242
	(270) 251-4240

Map and Direction

Physician's Profile

Full Name	Dr Thomas Gerald Russell Jr
Gender	Male
Speciality	Emergency Medicine
Location	1099 Medical Center Cir, Mayfield, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417080631
Provider Enumeration Date: 03/14/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8022009141
Enrollment ID: I20041209001087

Medical Identifiers

Medical identifiers for Dr Thomas Gerald Russell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417080631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	27843 (Kentucky)	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 Thomas Gerald Russell Jr allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285

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 Thomas Gerald Russell Jr 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
Dr Thomas Gerald Russell Jr, MD 934 State Route 2205, Mayfield, KY 42066-4886 Ph: (270) 247-9601	Dr Thomas Gerald Russell Jr, MD 1099 Medical Center Cir, Mayfield, KY 42066-1159 Ph: (270) 251-4242

Reviews and Comments

Emergency Medicine Doctors in Mayfield, KY

John Raymond Heiss, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1099 Medical Center Cir, Mayfield, KY 42066 Phone: 270-251-4243 Fax: 270-251-4220
Will Foston, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1099 Medical Center Cir, Mayfield, KY 42066 Phone: 931-906-4623
Christa Monroe, NP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1099 Medical Center Cir, Mayfield, KY 42066 Phone: 800-893-9698
Pavan Bejgum, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 South 9th Street, Mayfield, KY 42066 Phone: 270-247-7795 Fax: 800-574-6540

Dr Thomas Gerald Russell Jr, MD - Medicare Emergency Medicine in Mayfield, KY