Ron C Russell, MD | |
1314 19th Ave, Meridian, MS 39301-4116 | |
(601) 703-4078 | |
(601) 703-4065 |
Full Name | Ron C Russell |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 40 Years |
Location | 1314 19th Ave, Meridian, 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 |
---|---|---|---|
1710969472 | NPI | - | NPPES |
009811080 | Medicaid | AL | |
110167818 | Other | RAILROAD MEDICARE | |
731-02318 | Other | BLUE CROSS OF AL | |
00119498 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 11080 (Mississippi) | Primary |
207R00000X | Internal Medicine | 11080 (Mississippi) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Rush Foundation Hospital | Meridian, MS | Hospital |
H C Watkins Memorial Hospital Inc | Quitman, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rush Medical Foundation | 2567368541 | 22 |
Medical Foundation Inc | 9234043712 | 124 |
Entity Name | Medical Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
Entity Name | Rush Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588625594 PECOS PAC ID: 2567368541 Enrollment ID: O20031210000541 |
Entity Name | Laird Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821046798 PECOS PAC ID: 7214991769 Enrollment ID: O20050201000304 |
Entity Name | Scott Regional Medical Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639367188 PECOS PAC ID: 0648366260 Enrollment ID: O20080423000448 |
Entity Name | Kemper Cah, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346546306 PECOS PAC ID: 5991985012 Enrollment ID: O20110622000294 |
Mailing Address | Practice Location Address |
---|---|
Ron C Russell, MD Po Box 5183, Meridian, MS 39302-5183 Ph: (601) 703-4282 | Ron C Russell, MD 1314 19th Ave, Meridian, MS 39301-4116 Ph: (601) 703-4078 |
William Scot Bell, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-4078 Fax: 601-703-4065 | |
Melissa D. Campbell, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-4078 Fax: 601-703-4085 | |
Dr. Roger S. Labonte, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-4078 Fax: 601-703-4065 | |
Jamil Manzar Siddiqui, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-4078 Fax: 601-703-4085 |