Dr Jon W Russell, OD | |
205 N State St, Marengo, IL 60152-2239 | |
(815) 568-6508 | |
Not Available |
Full Name | Dr Jon W Russell |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 43 Years |
Location | 205 N State St, Marengo, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831177088 | NPI | - | NPPES |
046008174 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046008174 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Marengo Vision Center, P.c. | 8426061169 | 3 |
Provider Name | Marengo Vision Center, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396940938 PECOS PAC ID: 8426061169 Enrollment ID: O20060724000159 |
Mailing Address | Practice Location Address |
---|---|
Dr Jon W Russell, OD 205 N State St, Marengo, IL 60152-2239 Ph: (815) 568-6508 | Dr Jon W Russell, OD 205 N State St, Marengo, IL 60152-2239 Ph: (815) 568-6508 |
Javier Ramiro Rodriguez, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 205 N State St, Marengo, IL 60152 Phone: 815-568-6508 | |
Dr. Paul Allen Marnul, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 211 S State St, Marengo, IL 60152 Phone: 815-568-3937 | |
Dr. Michael William Thomas, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 205 N State St, Marengo, IL 60152 Phone: 815-568-6508 Fax: 815-568-4896 | |
Marengo Vision Center, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 205 N State St, Marengo, IL 60152 Phone: 815-568-6508 |