Russell Todd Allen, DO | |
130 E Lockling St, Brookfield, MO 64628-2337 | |
(660) 258-2222 | |
Not Available |
Full Name | Russell Todd Allen |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 130 E Lockling St, Brookfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194090357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2013041285 (Missouri) | Primary |
Entity Name | Midwest Division - Lrhc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639362460 PECOS PAC ID: 0941119150 Enrollment ID: O20031105000738 |
Entity Name | General John J Pershing Memorial Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982612461 PECOS PAC ID: 2860306750 Enrollment ID: O20031117000114 |
Entity Name | Ray County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245220052 PECOS PAC ID: 4688560634 Enrollment ID: O20040225001164 |
Entity Name | Saint Luke's Hospital Of Trenton |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841274057 PECOS PAC ID: 3971495532 Enrollment ID: O20040327000339 |
Entity Name | Golden Valley Memorial Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003873266 PECOS PAC ID: 4688561814 Enrollment ID: O20040407001299 |
Entity Name | Healthcare Associated Emergency Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720202161 PECOS PAC ID: 5890744460 Enrollment ID: O20050120000922 |
Mailing Address | Practice Location Address |
---|---|
Russell Todd Allen, DO 5207 Sw Raintree Pkwy, Lees Summit, MO 64082-4529 Ph: (785) 477-8507 | Russell Todd Allen, DO 130 E Lockling St, Brookfield, MO 64628-2337 Ph: (660) 258-2222 |
Dr. Jerry L Wait, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 E Lockling St, Brookfield, MO 64628 Phone: 660-258-1050 Fax: 660-258-1048 |