Fredrick Russek, MD | |
5263 S Highway 95, Suite 101, Fort Mohave, AZ 86426-9223 | |
(928) 788-3333 | |
(928) 788-3555 |
Full Name | Fredrick Russek |
---|---|
Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
Location | 5263 S Highway 95, Fort Mohave, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285610170 | NPI | - | NPPES |
002002781 | Medicaid | NV | |
256661 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 582 (Nevada) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 2202 (Arizona) | Primary |
Entity Name | Arizona Advanced Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134479892 PECOS PAC ID: 0941454953 Enrollment ID: O20130129000024 |
Mailing Address | Practice Location Address |
---|---|
Fredrick Russek, MD Po Box 10966, Suite 101, Fort Mohave, AZ 86427-0966 Ph: (928) 788-3333 | Fredrick Russek, MD 5263 S Highway 95, Suite 101, Fort Mohave, AZ 86426-9223 Ph: (928) 788-3333 |
Daniel James Clark, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-7115 Fax: 770-874-5483 | |
Dr. Henry H Liang, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4825 S Highway 95 # 2-356, Fort Mohave, AZ 86426 Phone: 888-206-5902 Fax: 480-466-7536 | |
Oleg V Serbine, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1510 E Wagon Wheel Ln, Ste. 110, Fort Mohave, AZ 86426 Phone: 928-788-3333 Fax: 928-788-3555 | |
Dr. Mervat Basta, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4825 S Highway 95 # 2-356, Fort Mohave, AZ 86426 Phone: 888-206-5902 Fax: 480-466-7536 | |
Dr. Scott Duong, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4825 S Highway 95 # 2-356, Fort Mohave, AZ 86426 Phone: 888-206-5902 Fax: 480-466-7536 | |
Francisco J. Melo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4825 S Highway 95 # 2-356, Fort Mohave, AZ 86426 Phone: 888-206-5902 Fax: 480-466-7536 |