Dr Wilson Glover Russell, MD in Winston-salem, NC

Dr Wilson Glover Russell, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Winston-salem, North Carolina. His current practice location is 3333 Silas Creek Pkwy, Winston-salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 718-5856.

Dr Wilson Glover Russell is licensed to practice in North Carolina (license number 24810) 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 1679549885.

Contact Information

	Dr Wilson Glover Russell, MD
	3333 Silas Creek Pkwy, Winston-salem, NC 27103-3013
	(336) 718-5856
	(336) 718-9259

Map and Direction

Physician's Profile

Full Name	Dr Wilson Glover Russell
Gender	Male
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	3333 Silas Creek Pkwy, Winston-salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679549885
Provider Enumeration Date: 02/27/2006
Last Update Date: 09/02/2016

Medicare PECOS Information:

PECOS PAC ID: 5496734659
Enrollment ID: I20040720000545

Medical Identifiers

Medical identifiers for Dr Wilson Glover Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679549885	NPI	-	NPPES
74049	Other	NC	BCBS
8974049	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	24810 (North Carolina)	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 Wilson Glover Russell allows following entities to bill medicare on his behalf.

Entity Name	Pathologists Diagnostic Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942278411 PECOS PAC ID: 9335113513 Enrollment ID: O20040824000104

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 Wilson Glover Russell 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 Wilson Glover Russell, MD Po Box 30369, Winston Salem, NC 27130-0369 Ph: (336) 718-5856	Dr Wilson Glover Russell, MD 3333 Silas Creek Pkwy, Winston-salem, NC 27103-3013 Ph: (336) 718-5856

Reviews and Comments

Pathology Doctors in Winston-salem, NC

Dr. Dennis Warren Ross, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Winston-salem, NC 27103 Phone: 336-718-3737 Fax: 336-718-9545
Zachary Thompson Lewis, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255
Dr. Norman Keith Sugg, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston-salem, NC 27103 Phone: 336-718-5856 Fax: 336-718-9259
Dr. Christopher Ronald Madden, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston-salem, NC 27103 Phone: 336-718-5856 Fax: 336-718-9545
Dr. Scott Ethan Kilpatrick, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston-salem, NC 27103 Phone: 336-718-3737 Fax: 336-718-9545
William Patrick Morrow, MD Pathology Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Winston-salem, NC 27101 Phone: 337-258-6079

Dr Wilson Glover Russell, MD - Medicare Pathology in Winston-salem, NC