Kimberly Ann Russell, MD | |
300 Laboratory Rd, Oak Ridge, TN 37830 | |
(865) 482-7698 | |
Not Available |
Full Name | Kimberly Ann Russell |
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Gender | Female |
Speciality | Internal Medicine |
Location | 300 Laboratory Rd, Oak Ridge, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194753293 | NPI | - | NPPES |
3885411 | Medicaid | TN | |
P00040818 | Other | TN | RR MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 36903 (Tennessee) | Primary |
Entity Name | Summit Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793 |
Entity Name | Cogent Healthcare Of Tennessee, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952654246 PECOS PAC ID: 8628221165 Enrollment ID: O20130110000564 |
Entity Name | Integrated Health Transitions Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922463470 PECOS PAC ID: 7315242302 Enrollment ID: O20160301000279 |
Mailing Address | Practice Location Address |
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Kimberly Ann Russell, MD 2717 East Oakland Avenue, Johnson City, TN 37601-1843 Ph: (423) 926-2358 | Kimberly Ann Russell, MD 300 Laboratory Rd, Oak Ridge, TN 37830 Ph: (865) 482-7698 |
Chukwuma Umunakwe, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 202-841-5854 | |
Dr. Michael Roger Thompson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 New York Ave, Suite 200, Oak Ridge, TN 37830 Phone: 865-835-5400 Fax: 865-835-5401 | |
Andrew W Dake, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Oak Ridge Turnpike, Suite A-402, Oak Ridge, TN 37830 Phone: 865-637-8812 Fax: 865-824-4886 | |
Aaron Joshua Smyth, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-483-3172 Fax: 865-483-8689 | |
Helen Susan Bidawid, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-481-1000 | |
Victor W Mclaughlin, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 80 Vermont Ave, Oak Ridge, TN 37830 Phone: 865-482-4078 Fax: 865-482-4960 | |
Mr. Ahmad Adel Taha Abu-heija, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 988 Oak Ridge Turnpike, Suite 200, Oak Ridge, TN 37830 Phone: 865-483-4366 Fax: 865-374-2090 |