James Patrick Russell, MD | |
13800 W North Ave, Ste 100, Brookfield, WI 53005-4974 | |
(262) 754-4488 | |
(262) 754-4940 |
Full Name | James Patrick Russell |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 23 Years |
Location | 13800 W North Ave, Brookfield, Wisconsin |
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 |
---|---|---|---|
1235122870 | NPI | - | NPPES |
34688800 | Medicaid | WI | |
P00368881 | Other | WI | RAILROAD MEDICARE |
P00384061 | Other | WI | RAILROAD MEDICARE |
P00364352 | Other | WI | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 47855020 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Medical College Of Wisconsin Inc | 2668384371 | 1736 |
Affiliated Dermatologists Sc | 8123065794 | 14 |
Entity Name | The Medical College Of Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Entity Name | Affiliated Dermatologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407849011 PECOS PAC ID: 8123065794 Enrollment ID: O20050414000817 |
Mailing Address | Practice Location Address |
---|---|
James Patrick Russell, MD 13800 W North Ave, Ste 100, Brookfield, WI 53005-4974 Ph: (262) 754-4488 | James Patrick Russell, MD 13800 W North Ave, Ste 100, Brookfield, WI 53005-4974 Ph: (262) 754-4488 |
Dr. James L. Troy, MD Dermatology Medicare: Medicare Enrolled Practice Location: 12805 W Burleigh Rd, Suite 200, Brookfield, WI 53005 Phone: 262-797-6434 Fax: 262-797-6429 | |
Gabriela A Maloney, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 17100 W North Ave Ste 200, Brookfield, WI 53005 Phone: 262-784-7820 Fax: 262-784-7936 | |
Dr. Manish J. Gharia, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave Ste 100, Brookfield, WI 53005 Phone: 262-754-4940 Fax: 262-754-4940 | |
Sun Young Ruggeri, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Glenn Eugene Sondag, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Kristina Ann Kleven, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 |