Dr Russell Wade Oliver, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Shelbyville, Tennessee. He went to Barry University School Of Podiatric Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Podiatry. His current practice location is
635 N. Main Street, Suite A, Shelbyville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 684-8884.
Dr Russell Wade Oliver is licensed to practice in Tennessee (license number DPM0000000524) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417095571.
Healthcare Provider's Profile
| Full Name | Dr Russell Wade Oliver |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 18 Years |
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| Location | 635 N. Main Street, Shelbyville, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Russell Wade Oliver attended and graduated from Barry University School Of Podiatric Medicine in 2006
NPI Data:
- NPI Number: 1417095571
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 12/15/2009
Medicare PECOS Information:
- PECOS PAC ID: 1951437243
- Enrollment ID: I20100325000626
Medical Identifiers
Medical identifiers for Dr Russell Wade Oliver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417095571 | NPI | - | NPPES |
| 3157415 | Other | TN | BLUE CROSS BLUE SHIELD |
| 480025490 | Other | TN | MEDICARE RAILROAD |
| TN0101 | Other | TN | AMERICHOICE |
| 1454420 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0131X | Podiatrist - Foot Surgery | DPM0000000524 (Tennessee) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Russell Wade Oliver allows following entities to bill medicare on his behalf.
| Provider Name | Oliver Foot Clinic, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1437297595
PECOS PAC ID: 0547396848
Enrollment ID: O20100325000673 |
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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 Russell Wade Oliver is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Russell Wade Oliver, DPM
P.o. Box 766,
Shelbyville, TN 37162-0766
Ph: (931) 684-8884 | Dr Russell Wade Oliver, DPM
635 N. Main Street, Suite A,
Shelbyville, TN 37160-3235
Ph: (931) 684-8884 |
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