Mrs Wendy Kiah Russell, MD | |
3999 Austell Rd Suite 901, Wellstreet Urgent Care, Austell, GA 30106 | |
(770) 809-3032 | |
(678) 817-4058 |
Full Name | Mrs Wendy Kiah Russell |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 29 Years |
Location | 3999 Austell Rd Suite 901, Austell, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679575997 | NPI | - | NPPES |
00836085H | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 45442 (Georgia) | Primary |
207QS0010X | Family Medicine - Sports Medicine | 045442 (Georgia) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstreet Of Georgia Pc | 7517126279 | 384 |
Entity Name | Wellstreet Of Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603 |
Mailing Address | Practice Location Address |
---|---|
Mrs Wendy Kiah Russell, MD 3999 Austell Rd Suite 901, Wellstreet Urgent Care, Austell, GA 30106 Ph: (770) 809-3032 | Mrs Wendy Kiah Russell, MD 3999 Austell Rd Suite 901, Wellstreet Urgent Care, Austell, GA 30106 Ph: (770) 809-3032 |
Jennifer Nicole Garrett, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 3825 Medical Park Dr Ste 301, Austell, GA 30106 Phone: 770-874-0692 | |
Rodshawnda D Franklin, MSN, APRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1773 Sweetwater St, Austell, GA 30106 Phone: 770-575-4938 | |
Dr. Erica Judge Edwards, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1790 Mulkey Rd Ste 8a, Austell, GA 30106 Phone: 770-944-1830 Fax: 770-739-0260 | |
Dr. Shin Long Liao, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4010 | |
Bonnie P Ellenoff, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3640 Tramore Pointe Pkwy, Kaiser Permanente West Cobb Medical Center, Austell, GA 30106 Phone: 770-439-4700 Fax: 404-370-0428 | |
Dr. Ramon Antonio Arias, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4320 Flint Hill Rd, Austell, GA 30106 Phone: 770-778-3378 Fax: 770-437-8070 | |
Dr. Thomas Gearhard, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1790 Mulkey Rd Ste 8a, Austell, GA 30106 Phone: 770-944-1830 Fax: 770-739-0260 |