Dr Russell Glendon Coulter-kern, PHD is a
Psychologist based in North Manchester, Indiana. Dr Russell Glendon Coulter-kern is licensed to practice in Indiana (license number 20040896A) and his current practice location is
1118 N Wayne St, North Manchester, Indiana. He can be reached at his office (for appointments etc.) via phone at
(260) 982-5349.
NPI number for Dr Russell Glendon Coulter-kern is 1255312187 and his current mailing address is 1604 W Heckathorn Dr, North Manchester, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255312187.
Healthcare Provider's Profile
Full Name | Dr Russell Glendon Coulter-kern |
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Gender | Male |
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Speciality | Psychologist |
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Location | 1118 N Wayne St, North Manchester, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255312187
- Provider Enumeration Date: 11/08/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Russell Glendon Coulter-kern such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255312187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 20040896A (Indiana) | 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 Russell Glendon Coulter-kern 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 Russell Glendon Coulter-kern, PHD 1604 W Heckathorn Dr, North Manchester, IN 46962-2217 Ph: (260) 982-9383 | Dr Russell Glendon Coulter-kern, PHD 1118 N Wayne St, North Manchester, IN 46962-1001 Ph: (260) 982-5349 |
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