Will Thomas Russell, DO | |
206 E Brown St, East Stroudsburg, PA 18301-3094 | |
(570) 476-3353 | |
Not Available |
Full Name | Will Thomas Russell |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 206 E Brown St, East Stroudsburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124280490 | NPI | - | NPPES |
0483923 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OT012329 (Pennsylvania) | Secondary |
207P00000X | Emergency Medicine | OS015414 (Pennsylvania) | Primary |
Entity Name | Emergency Physician Associates Of Pennsylvania Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619990900 PECOS PAC ID: 5597663252 Enrollment ID: O20040913000755 |
Mailing Address | Practice Location Address |
---|---|
Will Thomas Russell, DO 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 Ph: (484) 884-2888 | Will Thomas Russell, DO 206 E Brown St, East Stroudsburg, PA 18301-3094 Ph: (570) 476-3353 |
Richard Cornish, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 E Brown St, Somerset Hospital, East Stroudsburg, PA 18301 Phone: 570-476-3625 | |
Dr. Virginia Ann Gortych-barnes, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 206 E Brown St, East Stroudsburg, PA 18301 Phone: 570-476-3578 | |
Dr. Michael Bulette, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 206 E Brown St, East Stroudsburg, PA 18301 Phone: 570-476-3628 Fax: 570-476-6761 | |
Dr. Christopher Joseph Amrick, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 206 E Brown St, East Stroudsburg, PA 18301 Phone: 570-476-3625 Fax: 570-476-6761 | |
Dr. Richard J Tabor, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 E Brown St, East Stroudsburg, PA 18301 Phone: 570-476-3353 Fax: 570-420-2528 | |
Dr. Basil Albert Defranco, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 E Brown St, East Stroudsburg, PA 18301 Phone: 570-476-3625 Fax: 570-476-6761 |