Russell Fullerton, MD | |
199 Reedsdale Rd, Milton, MA 02186-3926 | |
(617) 696-4600 | |
Not Available |
Full Name | Russell Fullerton |
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Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 9 Years |
Location | 199 Reedsdale Rd, Milton, Massachusetts |
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 |
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1255727228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2085R0202X | Radiology - Diagnostic Radiology | 287107 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
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Beth Israel Deaconess Hospital - Milton | Milton, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is | 6305749987 | 450 |
Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275574899 PECOS PAC ID: 4486567104 Enrollment ID: O20040323000584 |
Entity Name | Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1245773308 PECOS PAC ID: 6305749987 Enrollment ID: O20170628003015 |
Mailing Address | Practice Location Address |
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Russell Fullerton, MD 790 Boylston St Apt 6g, Boston, MA 02199-7905 Ph: (407) 446-1246 | Russell Fullerton, MD 199 Reedsdale Rd, Milton, MA 02186-3926 Ph: (617) 696-4600 |
Harold Longmaid, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 92 Highland Ave, Milton, MA 02186 Phone: 617-696-4600 | |
Robert Richter, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 92 Highland Ave, Milton, MA 02186 Phone: 617-696-4600 | |
Mark Lipsky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 92 Highland Ave, Milton, MA 02186 Phone: 607-696-4600 | |
Patricia Donahue, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 92 Highland Ave, Milton, MA 02186 Phone: 617-696-4600 | |
Dr. Richard E Whitehead, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 199 Reedsdale Road, Dept Of Diagnostic Imaging, Milton Hospital, Milton, MA 02186 Phone: 617-696-4600 Fax: 617-313-1526 |