Dr Russell Pendleton, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Lake Worth, Texas. He went to William M. Scholl College Of Podiatric Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Advanced Foot And Ankle Associates Pllc and his current practice location is
6312 Azle Ave, Lake Worth, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 238-8400.
Dr Russell Pendleton is licensed to practice in Texas (license number 1916) 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 1932356789.
Healthcare Provider's Profile
| Full Name | Dr Russell Pendleton |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 17 Years |
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| Location | 6312 Azle Ave, Lake Worth, Texas |
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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 Pendleton attended and graduated from William M. Scholl College Of Podiatric Medicine in 2007
NPI Data:
- NPI Number: 1932356789
- Provider Enumeration Date: 08/23/2008
- Last Update Date: 11/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022141662
- Enrollment ID: I20100803000201
Medical Identifiers
Medical identifiers for Dr Russell Pendleton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932356789 | NPI | - | NPPES |
| 214330702 | Medicaid | TX | |
| 214330704 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1916 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Advanced Foot And Ankle Associates Pllc | 7113050758 | 2 |
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 Pendleton allows following entities to bill medicare on his behalf.
| Provider Name | Advanced Foot And Ankle Associates Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1568783553
PECOS PAC ID: 7113050758
Enrollment ID: O20100803000170 |
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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 Pendleton 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 |
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Dr Russell Pendleton, DPM
6312 Azle Ave,
Lake Worth, TX 76135-2442
Ph: (817) 238-8400 | Dr Russell Pendleton, DPM
6312 Azle Ave,
Lake Worth, TX 76135-2442
Ph: (817) 238-8400 |
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