Troy Matthew Russell, MD | |
9444 E 108th Ave Apt 203, Commerce City, CO 80640-7578 | |
(202) 830-6096 | |
Not Available |
Full Name | Troy Matthew Russell |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 9444 E 108th Ave Apt 203, Commerce City, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649513615 | NPI | - | NPPES |
036-139898 | Other | IL | IL LIC |
036139898 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036139898 (Illinois) | Secondary |
207Q00000X | Family Medicine | 272232 (Massachusetts) | Primary |
Entity Name | Lynn Community Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013997691 PECOS PAC ID: 0042217507 Enrollment ID: O20061026000348 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200204002341 |
Entity Name | Glutality Provider Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083256168 PECOS PAC ID: 9032549837 Enrollment ID: O20200924002349 |
Mailing Address | Practice Location Address |
---|---|
Troy Matthew Russell, MD 9444 E 108th Ave Apt 203, Commerce City, CO 80640-7578 Ph: (202) 830-6096 | Troy Matthew Russell, MD 9444 E 108th Ave Apt 203, Commerce City, CO 80640-7578 Ph: (202) 830-6096 |
Dr. Ann E Dominguez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6255 Quebec Pkwy, Commerce City, CO 80022 Phone: 303-286-8900 Fax: 303-286-8260 | |
Esther Soojin Shin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6255 Quebec Pkwy, Commerce City, CO 80022 Phone: 303-697-2583 Fax: 303-286-4970 | |
Dr. Jason E Twardzik-heine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6255 Quebec Parkway, Commerce City, CO 80022 Phone: 303-286-8900 Fax: 303-286-8260 | |
Josina R O'connell, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6255 Quebec Pkwy, Commerce City, CO 80022 Phone: 303-286-8900 Fax: 303-286-8260 | |
Dr. Layne C Bracy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6255 Quebec Pkwy, Commerce City, CO 80022 Phone: 303-286-8900 Fax: 303-286-8260 | |
Kara K. Leach, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6255 Quebec Pkwy, Commerce City, CO 80022 Phone: 303-286-8900 Fax: 303-286-4970 |