Russell Thomas Fox, PHD | |
3086 State Route 160, Gallipolis, OH 45631-8409 | |
(740) 446-5500 | |
(740) 441-4430 |
Full Name | Russell Thomas Fox |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 3086 State Route 160, Gallipolis, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730345422 | NPI | - | NPPES |
0200820 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 7055 (Ohio) | Primary |
Entity Name | State Of Ohio Office Of Budget And Management State Accounting |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023082716 PECOS PAC ID: 0143133181 Enrollment ID: O20031202000209 |
Mailing Address | Practice Location Address |
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Russell Thomas Fox, PHD 3086 State Route 160, Gallipolis, OH 45631-8409 Ph: (740) 446-5500 | Russell Thomas Fox, PHD 3086 State Route 160, Gallipolis, OH 45631-8409 Ph: (740) 446-5500 |
Adrienne Fitzsimmons, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3086 State Route 160, Gallipolis, OH 45631 Phone: 740-446-5500 Fax: 740-446-4951 | |
Dr. Amanda Adams-mock, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3086 State Route 160, Gallipolis, OH 45631 Phone: 740-446-5500 Fax: 740-441-4402 | |
Chelsea R Wallen, PSYCHOLOGY TRAINEE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3086 State Route 160, Gallipolis, OH 45631 Phone: 740-446-5500 Fax: 740-446-4951 | |
Jennifer Lackey, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3086 State Route 160, Gallipolis, OH 45631 Phone: 740-446-5500 Fax: 740-446-4951 | |
Hayley Pettit, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3086 Sr 160, Gallipolis, OH 45631 Phone: 740-446-5500 | |
Danita M Hamlin, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 61 State, Gallipolis, OH 45631 Phone: 740-446-3211 |