Mr Christopher Mark Russell, MD in Bloomington, IL

Mr Christopher Mark Russell, MD is a medicare enrolled "Internal Medicine" physician in Bloomington, Illinois. His current practice location is 1401 Eastland Dr, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 663-8311.

Mr Christopher Mark Russell is licensed to practice in Illinois (license number 036168208) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174194351.

Contact Information

	Mr Christopher Mark Russell, MD
	1401 Eastland Dr, Bloomington, IL 61701-3552
	(309) 663-8311
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Christopher Mark Russell
Gender	Male
Speciality	Internal Medicine
Location	1401 Eastland Dr, Bloomington, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174194351
Provider Enumeration Date: 07/08/2021
Last Update Date: 07/24/2024

Medicare PECOS Information:

PECOS PAC ID: 1658776356
Enrollment ID: I20240814001160

Medical Identifiers

Medical identifiers for Mr Christopher Mark Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174194351	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	036168208 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Christopher Mark Russell allows following entities to bill medicare on his behalf.

Entity Name	Christie Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332

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. Mr Christopher Mark 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
Mr Christopher Mark Russell, MD 101 W University Ave, Champaign, IL 61820-3909 Ph: (309) 663-8311	Mr Christopher Mark Russell, MD 1401 Eastland Dr, Bloomington, IL 61701-3552 Ph: (309) 663-8311

Reviews and Comments

Internal Medicine Doctors in Bloomington, IL

Dr. Venkata Ranganadh Dodda, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Suite 320, Bloomington, IL 61701 Phone: 309-661-2368
Mr. Kenneth Schoenig, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1228 Towanda Ave Ste 1, Bloomington, IL 61701 Phone: 309-454-5900 Fax: 309-454-2820
Dr. Robert Edward Clark, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1228 Towanda Ave Ste 1, Bloomington, IL 61701 Phone: 309-454-5900 Fax: 309-454-2820
Kenneth H. Inoue, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-2368 Fax: 309-662-9709
Paul Pedersen, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3120 Fax: 309-663-5742
Rajeev Varma, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1505 Eastland Dr Ste 320, Bloomington, IL 61701 Phone: 309-661-2368 Fax: 309-662-9709
Nasiruddin Khokhar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1404 Eastland Dr Ste 103, Bloomington, IL 61701 Phone: 309-434-3151

Mr Christopher Mark Russell, MD - Medicare Internal Medicine in Bloomington, IL