Roger Bivins Russell, MD | |
3633 Harden Rd, Ste 200, Raleigh, NC 27607-3369 | |
(919) 785-0505 | |
(919) 785-0205 |
Full Name | Roger Bivins Russell |
---|---|
Gender | Male |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 3633 Harden Rd, Raleigh, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588668529 | NPI | - | NPPES |
74061 | Other | NC | BCBS |
8974061 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 27515 (North Carolina) | Primary |
Entity Name | Specialists In Plastic Surgery Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760482210 PECOS PAC ID: 5294786216 Enrollment ID: O20050208000332 |
Mailing Address | Practice Location Address |
---|---|
Roger Bivins Russell, MD 3633 Harden Rd, Ste 200, Raleigh, NC 27607-3369 Ph: (919) 785-0505 | Roger Bivins Russell, MD 3633 Harden Rd, Ste 200, Raleigh, NC 27607-3369 Ph: (919) 785-0505 |
Dr. Bo Zhang, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7331 | |
Dr. Luan Tran, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2245 Gateway Access Pt, Suite 315, Raleigh, NC 27607 Phone: 919-510-8900 Fax: 919-510-8977 | |
Michael Raymond Hall, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4414 Lake Boone Trl Ste 505, Raleigh, NC 27607 Phone: 919-784-2300 | |
Dr. Kimberly Sue Jones, MD Surgery Medicare: Medicare Enrolled Practice Location: 9104 Falls Of Neuse Rd Ste 200, Raleigh, NC 27615 Phone: 919-532-2270 Fax: 919-230-9140 | |
Ms. Michalina Kupsik, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3024 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7251 | |
Dr. James E Fogartie Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7600 | |
Dr. Liliana Nanez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4414 Lake Boone Trl Ste 505, Raleigh, NC 27607 Phone: 919-784-2300 Fax: 919-784-2301 |