Keith Perry Russell, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in New Albany, Mississippi. His current practice location is
200 State Highway 30 W, New Albany, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(800) 889-8610.
Keith Perry Russell is licensed to practice in Mississippi (license number 24818) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1326335886.
Physician's Profile
Full Name | Keith Perry Russell |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 200 State Highway 30 W, New Albany, Mississippi |
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Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Keith Perry Russell attended and graduated from in
NPI Data:
- NPI Number: 1326335886
- Provider Enumeration Date: 07/06/2011
- Last Update Date: 09/27/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Keith Perry Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326335886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | T-2483 (Mississippi) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 24818 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith Perry Russell is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Keith Perry Russell, MD Po Box 4767, Jackson, MS 39296-4767 Ph: (800) 889-8610 | Keith Perry Russell, MD 200 State Highway 30 W, New Albany, MS 38652-3112 Ph: (800) 889-8610 |
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