Dr Kirk Shane Russell, MD in Sanford, NC - Medicare Diagnostic Radiology

Dr Kirk Shane Russell, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Sanford, North Carolina. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice The Emory Clinic, Inc and his current practice location is 70 Blue Heron Ct, Sanford, North Carolina. You can reach out to his office (for appointments etc.) via phone at (718) 807-5166.

Dr Kirk Shane Russell is licensed to practice in North Carolina (license number 2014-02064) 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 1912075631.

Contact Information

	Dr Kirk Shane Russell, MD
	70 Blue Heron Ct, Sanford, NC 27332-6644
	(718) 807-5166
	(718) 807-5166

Map and Direction

Physician's Profile

Full Name	Dr Kirk Shane Russell
Gender	Male
Speciality	Diagnostic Radiology
Experience	23 Years
Location	70 Blue Heron Ct, Sanford, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kirk Shane Russell graduated from medical school in 2001

NPI Data:

NPI Number: 1912075631
Provider Enumeration Date: 12/01/2006
Last Update Date: 11/19/2023

Medicare PECOS Information:

PECOS PAC ID: 2860583937
Enrollment ID: I20230202000670

Medical Identifiers

Medical identifiers for Dr Kirk Shane Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912075631	NPI	-	NPPES
1912075631	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	230324 (New York)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	2014-02064 (North Carolina)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	2014-02064 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sisters Of Charity Hospital	Buffalo, NY	Hospital
Saint Joseph's Hospital Of Atlanta, Inc	Atlanta, GA	Hospital
Mercy Hospital Of Buffalo	Buffalo, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Emory Clinic, Inc	8820901408	2687

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 Kirk Shane Russell allows following entities to bill medicare on his behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

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 Kirk Shane Russell 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 Kirk Shane Russell, MD 3186 Village Dr, Suite 201, Fayetteville, NC 28304-3978 Ph: (910) 486-5700	Dr Kirk Shane Russell, MD 70 Blue Heron Ct, Sanford, NC 27332-6644 Ph: (718) 807-5166

Reviews and Comments

Radiology Doctors in Sanford, NC

Richard Berry Caswell Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1135 Carthage St, Central Carolina Hospital, Sanford, NC 27330 Phone: 919-777-7092 Fax: 919-774-2399
Douglas Mitchell Dacko, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1135 Carthage St, Central Carolina Hospital, Sanford, NC 27330 Phone: 919-777-7092
Travis T Henderson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1135 Carthage St, Central Carolina Radiology, Sanford, NC 27330 Phone: 919-777-7092 Fax: 919-774-2399
Dr. Sreejit Nair, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 821 S Horner Blvd, Sanford, NC 27330 Phone: 919-589-6968

Dr Kirk Shane Russell, MD - Medicare Diagnostic Radiology in Sanford, NC