Dr Phillip Russell, OD is a
Optometrist based in Brandywine, Maryland. Dr Phillip Russell is licensed to practice in Maryland (license number TA1971) and his current practice location is
16006 Crain Hwy, Brandywine, Maryland. He can be reached at his office (for appointments etc.) via phone at
(301) 372-3213.
NPI number for Dr Phillip Russell is 1245244326 and his current mailing address is 15004 Reserve Rd, Accokeek, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245244326.
Healthcare Provider's Profile
Full Name | Dr Phillip Russell |
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Gender | Male |
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Speciality | Optometrist |
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Location | 16006 Crain Hwy, Brandywine, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245244326
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 10/25/2011
Medical Identifiers
Medical identifiers for Dr Phillip Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245244326 | NPI | - | NPPES |
010045711 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | TA1971 (Maryland) | Primary |
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. Dr Phillip Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Phillip Russell, OD 15004 Reserve Rd, Accokeek, MD 20607-9403 Ph: () - | Dr Phillip Russell, OD 16006 Crain Hwy, Brandywine, MD 20613-8081 Ph: (301) 372-3213 |
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