| Collin Russell, MD | |
|
1201 S Grand Blvd, Saint Louis, MO 63104-1016 | |
| (314) 977-1928 | |
| Not Available |
| Full Name | Collin Russell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1201 S Grand Blvd, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730686189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2023025223 (Missouri) | Primary |
| Entity Name | Slh Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881668051 PECOS PAC ID: 9830132653 Enrollment ID: O20050602000941 |
| Entity Name | Ssm Health Care Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Collin Russell, MD 3691 Rutger St Rm 137, Saint Louis, MO 63110-2515 Ph: () - | Collin Russell, MD 1201 S Grand Blvd, Saint Louis, MO 63104-1016 Ph: (314) 977-1928 |
Sean Oliver Cavanaugh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 660 S Euclid Ave # 8072, Washington University Emergency Medicine, Saint Louis, MO 63110 Phone: 314-362-9177 | |
John Verhey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-9177 | |
Dr. Mackenzie Ann Mcknight, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-9177 | |
Nagla Abdelmalek, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 | |
Dr. Jose I Alvarez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6150 Oakland Ave, Saint Louis, MO 63139 Phone: 314-768-3090 Fax: 314-768-3031 | |
Rahul Gupta, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-1906 | |
Dr. Opeolu Makanju Adeoye, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Emergency Med, Saint Louis, MO 63110 Phone: 314-362-9123 Fax: 314-362-0478 |