Scott Anthony Russell, MD | |
3201 S Austin Ave, Ste 330, Georgetown, TX 78626-7545 | |
(512) 864-3183 | |
(512) 930-3409 |
Full Name | Scott Anthony Russell |
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Gender | Male |
Speciality | Surgery |
Location | 3201 S Austin Ave, Georgetown, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790781706 | NPI | - | NPPES |
117275102 | Medicaid | TX | |
4232187 | Other | TX | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | H4662 (Texas) | Primary |
Entity Name | Vohra Post Acute Care Physicians Of Texas, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821424789 PECOS PAC ID: 0042447682 Enrollment ID: O20131205001723 |
Mailing Address | Practice Location Address |
---|---|
Scott Anthony Russell, MD 7200 Wyoming Spgs, Ste 500, Round Rock, TX 78681-4307 Ph: (512) 244-0111 | Scott Anthony Russell, MD 3201 S Austin Ave, Ste 330, Georgetown, TX 78626-7545 Ph: (512) 864-3183 |
Dr. Monica Ann Rocco, MD Surgery Medicare: Medicare Enrolled Practice Location: 2000 Scenic Dr # G002, Georgetown, TX 78626 Phone: 512-505-5500 Fax: 512-334-2628 | |
Bradley A Boone, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3201 S Austin Ave, Georgetown, TX 78626 Phone: 512-459-8753 Fax: 512-483-6807 | |
Joseph P Jeanette Ii, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 3721 Williams Dr, Georgetown, TX 78628 Phone: 512-869-7310 Fax: 512-688-5584 | |
David Ward Martin, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1900 Scenic Dr, Ste 2208, Georgetown, TX 78626 Phone: 512-864-3183 Fax: 512-930-3409 |