Gregory A Russell, MD | |
12925 Highway 601, Ste 300, Midland, NC 28107-9535 | |
(704) 888-3702 | |
Not Available |
Full Name | Gregory A Russell |
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Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 12925 Highway 601, Midland, North Carolina |
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 |
---|---|---|---|
1992770515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 2010-01130 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
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Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
Stanly Regional Medical Center | Albemarle, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carolinas Physicians Network Inc | 3375449655 | 1649 |
Carolinas Physicians Network Inc | 3375449655 | 1649 |
Entity Name | Carolinas Physicians Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
Entity Name | The Charlotte-mecklenburg Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605 |
Mailing Address | Practice Location Address |
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Gregory A Russell, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Gregory A Russell, MD 12925 Highway 601, Ste 300, Midland, NC 28107-9535 Ph: (704) 888-3702 |
Summer Elizabeth Fleming, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 12925 Highway 601 Ste 300, Midland, NC 28107 Phone: 704-888-3702 | |
Ms. Edith Elaine Cloud, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12925 Highway 601, Midland Family Medicine, Midland, NC 28107 Phone: 704-888-3702 Fax: 704-888-4192 |