Richard L Russell, MD | |
106 Highland Way Ste 200, Madison, MS 39110-6933 | |
(601) 200-4141 | |
(601) 200-4150 |
Full Name | Richard L Russell |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 106 Highland Way Ste 200, Madison, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063584175 | NPI | - | NPPES |
00126047 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 14431 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sta Home Health And Hospice | Clinton, MS | Home health agency |
St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
Mississippi Baptist Medical Center | Jackson, MS | Hospital |
Mississippi Methodist Rehab Ctr | Jackson, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Dominic Medical Associates Llc | 0446303168 | 156 |
Entity Name | St. Dominic Medical Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821 |
Mailing Address | Practice Location Address |
---|---|
Richard L Russell, MD Po Box 23666, Jackson, MS 39225-3666 Ph: (601) 200-4749 | Richard L Russell, MD 106 Highland Way Ste 200, Madison, MS 39110-6933 Ph: (601) 200-4141 |
Mr. Alexander Chapman Whittington, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Baptist Dr Ste 201, Madison, MS 39110 Phone: 601-853-2020 Fax: 601-853-2728 | |
Dr. Jerry Scott Harrison, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Highland Way Ste 200, Madison, MS 39110 Phone: 601-200-4141 Fax: 601-200-4150 | |
Dr. Seth Alan Compton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Baptist Dr Ste 401, Madison, MS 39110 Phone: 601-973-1571 Fax: 601-973-1623 | |
Howard D Dear, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 Baptist Dr, #304, Madison, MS 39110 Phone: 601-605-3531 Fax: 601-605-3532 | |
Stevan Webster, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 216 Kingsbridge Rd, Madison, MS 39110 Phone: 601-862-7660 | |
Dr. James Kevin Bridges, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 Ebenezer Blvd Ste A, Madison, MS 39110 Phone: 769-200-1600 Fax: 769-200-1571 |