Russell Wayne Craig, DO is a
Otolaryngology - Otolaryngology/facial Plastic Surgery physician based in Macomb Twp, Michigan. Russell Wayne Craig is licensed to practice in Michigan (license number 5101011400) and his current practice location is 17901 Hall Rd, Macomb Twp, Michigan. He can be reached at his office (for appointments etc.) via phone at
(586) 412-0900.
NPI number for Russell Wayne Craig is 1508979436 and his current mailing address is 17901 Hall Rd, Macomb Twp, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508979436.
Physician's Profile
| Full Name | Russell Wayne Craig |
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| Gender | Male |
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| Speciality | Otolaryngology - Otolaryngology/facial Plastic Surgery |
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| Location | 17901 Hall Rd, Macomb Twp, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508979436
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 01/14/2010
Medical Identifiers
Medical identifiers for Russell Wayne Craig such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508979436 | NPI | - | NPPES |
| 5500330 | Other | MI | BCBS OF MI |
| 3385222 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 5101011400 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Russell Wayne Craig is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Russell Wayne Craig, DO
17901 Hall Rd,
Macomb Twp, MI 48044
Ph: (586) 412-0900 | Russell Wayne Craig, DO
17901 Hall Rd,
Macomb Twp, MI 48044
Ph: (586) 412-0900 |
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