Herbert E Russell Ii, DO | |
200 W Lorain St, Oberlin, OH 44074-1026 | |
(440) 775-1211 | |
(440) 775-9118 |
Full Name | Herbert E Russell Ii |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 200 W Lorain St, Oberlin, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851362412 | NPI | - | NPPES |
000000380487 | Other | OH | BCBS |
2330445 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34-00-7532-R (Ohio) | Primary |
Entity Name | Summa Emergency Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811936883 PECOS PAC ID: 4880590876 Enrollment ID: O20031210000579 |
Entity Name | Aultman Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619911054 PECOS PAC ID: 3779485867 Enrollment ID: O20040121000010 |
Entity Name | Physicians Link Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235172925 PECOS PAC ID: 8527969492 Enrollment ID: O20040405000838 |
Entity Name | Emergency Professional Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
Entity Name | Physicians Emergency Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235162942 PECOS PAC ID: 4587631650 Enrollment ID: O20040916000964 |
Entity Name | Steward Emergency Physicians Ohio Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124501861 PECOS PAC ID: 1951645167 Enrollment ID: O20181128003465 |
Mailing Address | Practice Location Address |
---|---|
Herbert E Russell Ii, DO Po Box 65274, Charlotte, NC 28265-0274 Ph: (800) 377-8721 | Herbert E Russell Ii, DO 200 W Lorain St, Oberlin, OH 44074-1026 Ph: (440) 775-1211 |
Cary C. Scott, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 W Lorain St, Oberlin, OH 44074 Phone: 440-775-1211 Fax: 440-775-9118 | |
Dr. Paul Michael Matus, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 90 Fairway Dr, Oberlin, OH 44074 Phone: 440-774-1929 Fax: 440-774-1929 | |
Richard T. Kessler, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 W Lorain St, Oberlin, OH 44074 Phone: 440-775-1211 Fax: 440-775-9118 | |
Michael P. Tricaso, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 W Lorain St, Oberlin, OH 44074 Phone: 440-775-1211 Fax: 440-775-9118 |