Russell Pruitt Herrington Sr, MD | |
4800 48th Street, Valley, AL 36854-3666 | |
(334) 756-9180 | |
(334) 756-5874 |
Full Name | Russell Pruitt Herrington Sr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 37 Years |
Location | 4800 48th Street, Valley, Alabama |
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 |
---|---|---|---|
1124048889 | NPI | - | NPPES |
P00400815 | Other | GA | RAILROAD MEDICARE |
000400188E | Medicaid | GA | |
000400188H | Medicaid | GA | |
178575873A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 31261 (Georgia) | Primary |
207Q00000X | Family Medicine | 031261 (Georgia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
East Alabama Medical Center And Snf | Opelika, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The East Alabama Health Care Authority | 3072403237 | 83 |
Entity Name | The East Alabama Health Care Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073685483 PECOS PAC ID: 3072403237 Enrollment ID: O20040824001092 |
Mailing Address | Practice Location Address |
---|---|
Russell Pruitt Herrington Sr, MD 660 Snoopy Lane, Portal, GA 30450 Ph: (912) 865-9353 | Russell Pruitt Herrington Sr, MD 4800 48th Street, Valley, AL 36854-3666 Ph: (334) 756-9180 |
Michael Grossman, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4505 20th Ave, Valley, AL 36854 Phone: 334-756-9604 Fax: 334-756-9606 | |
Dr. Krishnaveni Manku, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4800 48th St, Valley, AL 36854 Phone: 334-756-9180 | |
Barbara L Perrone, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4800 48th St, Valley, AL 36854 Phone: 334-756-9180 |