Evan T Russell, MD | |
2325 18th St, Suite 130, Columbus, IN 47201-5388 | |
(812) 379-2020 | |
Not Available |
Full Name | Evan T Russell |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 17 Years |
Location | 2325 18th St, Columbus, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609039973 | NPI | - | NPPES |
201012920 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 01068153A (Indiana) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | 01068153A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Columbus Regional Hospital | Columbus, IN | Hospital |
Schneck Medical Center | Seymour, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Columbus Regional Health Physicians Llc | 1052612314 | 196 |
Entity Name | Indiana University Health Care Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Entity Name | Columbus Regional Health Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336510098 PECOS PAC ID: 1052612314 Enrollment ID: O20151211000054 |
Mailing Address | Practice Location Address |
---|---|
Evan T Russell, MD Po Box 775383, Chicago, IL 60677-5383 Ph: (812) 376-5315 | Evan T Russell, MD 2325 18th St, Suite 130, Columbus, IN 47201-5388 Ph: (812) 379-2020 |
Melissa Andrea Martinez Mateo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2326 18th St Ste 210, Columbus, IN 47201 Phone: 812-372-8680 | |
Vatsal Bajpai, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2325 18th St Ste 130, Columbus, IN 47201 Phone: 812-379-2020 | |
Neil Amin, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2400 17th St, Columbus, IN 47201 Phone: 812-376-5974 | |
Lawrence Klein, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2325 18th St Ste 130, Columbus, IN 47201 Phone: 812-379-2020 Fax: 812-378-8267 | |
Chelsie Lynn Brady, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2400 17th St, Columbus, IN 47201 Phone: 812-376-5974 Fax: 812-375-3203 | |
Brian M Kline, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 815 Schnier St, Columbus, IN 47201 Phone: 912-375-8810 | |
Paula Yanina Villarejo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4050 Central Ave, Columbus, IN 47203 Phone: 812-376-9427 Fax: 812-378-6174 |