Russell Daugherty, MD | |
1300 N Main St, Rushville, IN 46173-1116 | |
(765) 932-4111 | |
(765) 932-7062 |
Full Name | Russell Daugherty |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 31 Years |
Location | 1300 N Main St, Rushville, Indiana |
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 |
---|---|---|---|
1275522039 | NPI | - | NPPES |
200001980 | Medicaid | IN | |
000000599467 | Other | IN | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01042648A (Indiana) | Secondary |
208000000X | Pediatrics | 01042648A (Indiana) | Secondary |
207P00000X | Emergency Medicine | 01042648A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Our Hospice Of South Central Indiana Inc | Columbus, IN | Hospice |
Rush Memorial Hospital | Rushville, IN | Hospital |
Miller's Merry Manor | Rushville, IN | Nursing home |
Flatrock River Lodge | Rushville, IN | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rush Memorial Hospital | 7012802754 | 62 |
Entity Name | Rush Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497726020 PECOS PAC ID: 7012802754 Enrollment ID: O20040220000164 |
Entity Name | Indiana Physician Management Rush Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821364654 PECOS PAC ID: 7618130014 Enrollment ID: O20120523000003 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
Mailing Address | Practice Location Address |
---|---|
Russell Daugherty, MD 1300 N Main St, Rushville, IN 46173-1116 Ph: (765) 932-4111 | Russell Daugherty, MD 1300 N Main St, Rushville, IN 46173-1116 Ph: (765) 932-4111 |