Russell G Hisscock, DO | |
4791 E Palm Canyon Dr Ste 100, Palm Springs, CA 92264-5232 | |
(760) 834-7930 | |
(760) 834-7931 |
Full Name | Russell G Hisscock |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 28 Years |
Location | 4791 E Palm Canyon Dr Ste 100, Palm Springs, California |
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 |
---|---|---|---|
1821103854 | NPI | - | NPPES |
363180 | Other | WA | STATE L&I |
109455 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4374 (Arizona) | Secondary |
207Q00000X | Family Medicine | OP60690694 (Washington) | Secondary |
207Q00000X | Family Medicine | 20A10268 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eisenhower Medical Center | Rancho mirage, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eisenhower Medical Center | 5890689657 | 370 |
Entity Name | Eisenhower Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013981554 PECOS PAC ID: 5890689657 Enrollment ID: O20100506000102 |
Mailing Address | Practice Location Address |
---|---|
Russell G Hisscock, DO 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 Ph: (760) 834-7930 | Russell G Hisscock, DO 4791 E Palm Canyon Dr Ste 100, Palm Springs, CA 92264-5232 Ph: (760) 834-7930 |
Yea Ping Lin, PHD, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 555 E Tachevah Dr Ste 2e107, Palm Springs, CA 92262 Phone: 760-561-7373 | |
Allison Ann Lovell, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1555 S Palm Canyon Dr Bldg C, Palm Springs, CA 92264 Phone: 760-773-4560 Fax: 760-773-4561 | |
Dr. Marvin Frankel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 W Merito Pl, Palm Springs, CA 92262 Phone: 760-325-5681 | |
Dennis Michael Woo, Family Medicine Medicare: Medicare Enrolled Practice Location: 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 Phone: 760-561-7327 Fax: 760-307-8172 | |
Dr. Vincent G D'auria, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 275 N. El Cielo, Palm Springs, CA 92262 Phone: 760-323-8657 Fax: 760-318-9083 | |
Richard L. Henderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 E Tachevah Dr Ste 2e107, Palm Springs, CA 92262 Phone: 760-561-7373 Fax: 760-327-5140 | |
Frank B Arian, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 490 S Farrell Dr, Suite C-104, Palm Springs, CA 92262 Phone: 760-327-8755 Fax: 760-327-1477 |