Russell S Shu, MD | |
35 Pearl St Ste 100, Brockton, MA 02301-2866 | |
(508) 588-8034 | |
(508) 588-5969 |
Full Name | Russell S Shu |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 29 Years |
Location | 35 Pearl St Ste 100, Brockton, 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 |
---|---|---|---|
1134134422 | NPI | - | NPPES |
3209396 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 204533 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Morton Hospital | Taunton, MA | Hospital |
Good Samaritan Medical Center | Brockton, MA | Hospital |
Norwood Hospital | Norwood, MA | Hospital |
Signature Healthcare Brockton Hospital | Brockton, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ent Specialists, Inc | 0648353888 | 19 |
Entity Name | Ent Specialists, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548319809 PECOS PAC ID: 0648353888 Enrollment ID: O20080212000418 |
Entity Name | Ent Norwood Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265749907 PECOS PAC ID: 9234476318 Enrollment ID: O20190128002049 |
Mailing Address | Practice Location Address |
---|---|
Russell S Shu, MD 35 Pearl St Ste 100, Brockton, MA 02301-1195 Ph: (508) 588-8034 | Russell S Shu, MD 35 Pearl St Ste 100, Brockton, MA 02301-2866 Ph: (508) 588-8034 |
H Dennis Snyder, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 35 Pearl St Ste 100, Brockton, MA 02301 Phone: 508-588-8034 Fax: 508-588-5969 | |
Walid Ibrahim Dagher, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 35 Pearl St Ste 100, Brockton, MA 02301 Phone: 508-588-8034 Fax: 508-588-5969 | |
Douglas A O'brien, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 35 Pearl St Ste 100, Brockton, MA 02301 Phone: 508-588-8034 Fax: 508-588-5969 | |
Kimberly Russell, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 35 Pearl St Ste 100, Brockton, MA 02301 Phone: 508-588-8034 Fax: 508-588-5969 | |
Dr. Ameer Trilok Shah, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 35 Pearl St Ste 200, Brockton, MA 02301 Phone: 508-588-8034 Fax: 508-897-0475 | |
Pratik S Pradhan, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 35 Pearl St Ste 100, Brockton, MA 02301 Phone: 508-588-8034 Fax: 508-588-5969 |