| Dr Brian K Russell, MD | |
|
100 Mimosa Dr Ste 110, Thomasville, GA 31792-6676 | |
| (850) 999-4894 | |
| (850) 668-0572 |
| Full Name | Dr Brian K Russell |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 43 Years |
| Location | 100 Mimosa Dr Ste 110, Thomasville, Georgia |
| 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 |
|---|---|---|---|
| 1396834271 | NPI | - | NPPES |
| 036078323 | Medicaid | IL |
| Facility Name | Location | Facility Type |
|---|---|---|
| John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
| Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
| Piedmont Columbus Regional Northside | Columbus, GA | Hospital |
| Grady General Hospital | Cairo, GA | Hospital |
| Brooks County Hospital | Quitman, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Brain And Spine Surgery Pc | 3870563604 | 4 |
| Archbold Medical Group, Inc. | 8123196383 | 68 |
| Entity Name | Southeast Brain & Spine Surgery Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023175999 PECOS PAC ID: 3870563604 Enrollment ID: O20040729000291 |
| Entity Name | Archbold Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831353036 PECOS PAC ID: 8123196383 Enrollment ID: O20081001000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian K Russell, MD 3445 Bannerman Rd Ste 200, Tallahassee, FL 32312-7053 Ph: (850) 999-4894 | Dr Brian K Russell, MD 100 Mimosa Dr Ste 110, Thomasville, GA 31792-6676 Ph: (850) 999-4894 |
Winston Craig Clark, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 704 S Broad St, Thomasville, GA 31792 Phone: 229-584-5760 Fax: 229-584-5945 | |
Dr. Gerald N Kadis, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 S Broad St, Thomasville, GA 31792 Phone: 229-226-8880 Fax: 229-226-6342 |