Marie Ann Russell, MD | |
150 Valpreda Rd, San Marcos, CA 92069-2973 | |
(760) 736-8689 | |
Not Available |
Full Name | Marie Ann Russell |
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Gender | Female |
Speciality | Internal Medicine |
Location | 150 Valpreda Rd, San Marcos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609947449 | NPI | - | NPPES |
634685 | Medicaid | AZ | |
AZ0713260 | Other | AZ | BCBSAZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 28355 (Arizona) | Primary |
Entity Name | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083643738 PECOS PAC ID: 1759290901 Enrollment ID: O20031105000797 |
Mailing Address | Practice Location Address |
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Marie Ann Russell, MD Po Box 31001-0698, Pasadena, CA 91110-0698 Ph: (602) 263-1511 | Marie Ann Russell, MD 150 Valpreda Rd, San Marcos, CA 92069-2973 Ph: (760) 736-8689 |
Sze Hoay Ding, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 Craven Rd, San Marcos, CA 92078 Phone: 619-318-7476 | |
Dr. Basma Al Nahlawi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 W San Marcos Blvd Ste 210, San Marcos, CA 92078 Phone: 760-707-6765 Fax: 760-736-8092 | |
Minh Quoc Nguyen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 885 Orion Way, San Marcos, CA 92078 Phone: 619-757-0141 | |
Meenu Bawa, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 Craven Rd, San Marcos, CA 92078 Phone: 619-323-8789 | |
Dr. Izabela Witczak, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Valpreda Rd, San Marcos, CA 92069 Phone: 760-736-6700 Fax: 760-736-8740 | |
Francisco Marquez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Craven Rd, San Marcos, CA 92078 Phone: 760-510-4313 | |
Dr. Juan Carlos Alvergue, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Craven Rd, San Marcos, CA 92078 Phone: 310-696-9971 |