| Brandon Russell, DO | |
|
2001 Stults Rd, Huntington, IN 46750-1291 | |
| (260) 482-4440 | |
| (260) 482-4442 |
| Full Name | Brandon Russell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 25 Years |
| Location | 2001 Stults Rd, Huntington, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588603708 | NPI | - | NPPES |
| 200825030 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 34C.000055 (Ohio) | Primary |
| 207P00000X | Emergency Medicine | 02003088-A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bluffton Regional Medical Center | Bluffton, IN | Hospital |
| Parkview Huntington Hospital | Huntington, IN | Hospital |
| Parkview Whitley Hospital | Columbia city, IN | Hospital |
| Parkview Lagrange Hospital | Lagrange, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Emergency Physicians Pc | 2769384213 | 72 |
| Emergency Professionals Of Indiana Pc | 4183604150 | 114 |
| Entity Name | Professional Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144215096 PECOS PAC ID: 2769384213 Enrollment ID: O20040123000999 |
| Entity Name | Cameron Memorial Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770521478 PECOS PAC ID: 9234020835 Enrollment ID: O20040323001008 |
| Entity Name | Marion General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528099041 PECOS PAC ID: 9133023625 Enrollment ID: O20040524001483 |
| Entity Name | Emergency Professionals Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013951219 PECOS PAC ID: 4183604150 Enrollment ID: O20040721000612 |
| Entity Name | Community Hospital Of Lagrange County, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679674956 PECOS PAC ID: 1355382706 Enrollment ID: O20140318000136 |
| Entity Name | Concord Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20191025000956 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Russell, DO 1791 Charlotte Landing Rd, Springport, MI 49284-9423 Ph: (260) 665-2141 | Brandon Russell, DO 2001 Stults Rd, Huntington, IN 46750-1291 Ph: (260) 482-4440 |
Smita Bhat, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1415 Flaxmill Rd, Huntington, IN 46750 Phone: 260-359-1250 | |
Lindsay L. Boik-price, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Stults Rd, Huntington, IN 46750 Phone: 260-266-1000 | |
Seth Baker, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Stults Rd, Huntington, IN 46750 Phone: 260-482-5091 | |
David L Reid, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2001 Stults Rd, Huntington, IN 46750 Phone: 260-482-4440 | |
Stanley Greenberg, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1415 Flaxmill Rd, Huntington, IN 46750 Phone: 260-359-1250 |