Russell W Norwood, MD | |
12935 Gregory St, Blue Island, IL 60406-2428 | |
(708) 385-4433 | |
Not Available |
Full Name | Russell W Norwood |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 39 Years |
Location | 12935 Gregory St, Blue Island, Illinois |
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 |
---|---|---|---|
1518935022 | NPI | - | NPPES |
000000690225 | Other | KY | BCBS |
P00928212 | Other | KY | RR MEDICARE |
7100017330 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | R11145 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
Piedmont Columbus Regional Northside | Columbus, GA | Hospital |
Owensboro Health Regional Hospital | Owensboro, KY | Hospital |
Clinch Memorial Hospital | Homerville, GA | Hospital |
St Francis Hospital- Emory Healthcare | Columbus, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Columbus Diagnostic Center Inc | 3375455884 | 38 |
Louisville Radiology Imaging Consultants Pllc | 2264436120 | 68 |
Columbus Diagnostic Center Inc | 3375455884 | 38 |
Northside Radiology Associates Llc | 4486555398 | 222 |
Entity Name | Columbus Diagnostic Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316108624 PECOS PAC ID: 3375455884 Enrollment ID: O20040429001218 |
Entity Name | Georgia Radiology Imaging Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831461771 PECOS PAC ID: 5698930774 Enrollment ID: O20120625000184 |
Mailing Address | Practice Location Address |
---|---|
Russell W Norwood, MD 3300 Burr Oak Ave, 2nd Floor, Blue Island, IL 60406-3802 Ph: (708) 388-0423 | Russell W Norwood, MD 12935 Gregory St, Blue Island, IL 60406-2428 Ph: (708) 385-4433 |
Dr. Neel Shah, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 | |
Dr. Gregorio M Tolentino Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2310 York St, Suite M, Blue Island, IL 60406 Phone: 708-396-0910 Fax: 708-388-4354 | |
Dr. Barbara May Wieties-malm, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 | |
Dr. Lee R Christensen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 |