Deidre Russell, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Maricopa, Arizona. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 1990 and has 36 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Momdoc Llc and his current practice location is
21300 N John Wayne Pkwy Ste 121, Maricopa, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 821-3600.
Deidre Russell is licensed to practice in Arizona (license number 48632) 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 1467565341.
Physician's Profile
| Full Name | Deidre Russell |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 36 Years |
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| Location | 21300 N John Wayne Pkwy Ste 121, Maricopa, Arizona |
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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:
- Deidre Russell attended and graduated from University Of Texas Southwestern Medical School At Dallas in 1990
NPI Data:
- NPI Number: 1467565341
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638262892
- Enrollment ID: I20140801000914
Medical Identifiers
Medical identifiers for Deidre Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467565341 | NPI | - | NPPES |
| 906341 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 48632 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Momdoc Llc | 3375534282 | 63 |
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. Deidre Russell allows following entities to bill medicare on his behalf.
| Entity Name | Momdoc Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184780355
PECOS PAC ID: 3375534282
Enrollment ID: O20040520000050 |
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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. Deidre 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 |
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Deidre Russell, MD
Po Box 6730,
Chandler, AZ 85246-6730
Ph: (480) 821-3600 | Deidre Russell, MD
21300 N John Wayne Pkwy Ste 121,
Maricopa, AZ 85139-8978
Ph: (480) 821-3600 |
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