Tiffany Russ, DO | |
950 Harry S Truman Dr N, Suite 140, Largo, MD 20707 | |
(855) 527-7246 | |
(866) 229-5063 |
Full Name | Tiffany Russ |
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Gender | Female |
Speciality | Anesthesiology - Pain Medicine |
Location | 950 Harry S Truman Dr N, Largo, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255893731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 20A21027 (California) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 20A21027 (California) | Primary |
Entity Name | Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326096165 PECOS PAC ID: 8527971316 Enrollment ID: O20031107000404 |
Mailing Address | Practice Location Address |
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Tiffany Russ, DO 201 Defense Hwy Ste 205, Annapolis, MD 21401-7096 Ph: (855) 527-7246 | Tiffany Russ, DO 950 Harry S Truman Dr N, Suite 140, Largo, MD 20707 Ph: (855) 527-7246 |
Dr. Oluwafunke 0 Ives, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Largo, MD 20774 Phone: 202-507-0511 | |
Dr. James Eugene Mitchell Iv, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Harry S Truman Dr, Largo, MD 20774 Phone: 240-677-1000 | |
Dr. April A Mciver, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 |