Thomas Joseph Russell, MD in Brookfield, WI

Thomas Joseph Russell, MD is a medicare enrolled "Dermatology" physician in Brookfield, Wisconsin. His current practice location is 13800 W North Ave, Ste 100, Brookfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 754-4488.

Thomas Joseph Russell is licensed to practice in Wisconsin (license number 15093020) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528051166.

Contact Information

	Thomas Joseph Russell, MD
	13800 W North Ave, Ste 100, Brookfield, WI 53005-4974
	(262) 754-4488
	(262) 754-4940

Map and Direction

Physician's Profile

Full Name	Thomas Joseph Russell
Gender	Male
Speciality	Dermatology
Location	13800 W North Ave, Brookfield, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528051166
Provider Enumeration Date: 08/30/2005
Last Update Date: 04/20/2008

Medicare PECOS Information:

PECOS PAC ID: 0446297014
Enrollment ID: I20060918000438

Medical Identifiers

Medical identifiers for Thomas Joseph Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528051166	NPI	-	NPPES
30899900	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	15093020 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Thomas Joseph Russell allows following entities to bill medicare on his behalf.

Entity Name	The Medical College Of Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259

Entity Name	Affiliated Dermatologists Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407849011 PECOS PAC ID: 8123065794 Enrollment ID: O20050414000817

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. Thomas Joseph Russell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Thomas Joseph Russell, MD 13800 W North Ave, Ste 100, Brookfield, WI 53005-4974 Ph: (262) 754-4488	Thomas Joseph Russell, MD 13800 W North Ave, Ste 100, Brookfield, WI 53005-4974 Ph: (262) 754-4488

Reviews and Comments

Dermatology Doctors in Brookfield, WI

Dr. James L. Troy, MD Dermatology Medicare: Medicare Enrolled Practice Location: 12805 W Burleigh Rd, Suite 200, Brookfield, WI 53005 Phone: 262-797-6434 Fax: 262-797-6429
Gabriela A Maloney, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 17100 W North Ave Ste 200, Brookfield, WI 53005 Phone: 262-784-7820 Fax: 262-784-7936
James Patrick Russell, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940
Dr. Manish J. Gharia, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave Ste 100, Brookfield, WI 53005 Phone: 262-754-4940 Fax: 262-754-4940
Sun Young Ruggeri, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940
Glenn Eugene Sondag, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940
Kristina Ann Kleven, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940

Thomas Joseph Russell, MD - Medicare Dermatology in Brookfield, WI