Dr Charles E Russell, MD - Medicare Preventive Medicine in Dayton, OH

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Dr Charles E Russell, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Dayton, Ohio. His current practice location is 2611 Wayne Ave, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 256-7801.

Dr Charles E Russell is licensed to practice in Ohio (license number 35050063) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245220912.

Contact Information

Dr Charles E Russell, MD
2611 Wayne Ave,
Dayton, OH 45420-1833
(937) 256-7801
(937) 641-8517

Map and Direction




Physician's Profile

Full NameDr Charles E Russell
GenderMale
SpecialityPreventive Medicine - Addiction Medicine
Location2611 Wayne Ave, Dayton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245220912
  • Provider Enumeration Date: 10/25/2005
  • Last Update Date: 02/09/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3577450394
  • Enrollment ID: I20180315000606

Medical Identifiers

Medical identifiers for Dr Charles E Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245220912NPI-NPPES
000000546225OtherOHANTHEM
0573348MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 35050063 (Ohio)Secondary
2083A0300XPreventive Medicine - Addiction Medicine 35050063 (Ohio)Primary
208D00000XGeneral Practice 35050063 (Ohio)Secondary

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 Charles E Russell allows following entities to bill medicare on his behalf.
Entity NameAccess Behavioral Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437463213
PECOS PAC ID: 1052595402
Enrollment ID: O20110408000052
Entity NameAccess Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689763740
PECOS PAC ID: 4385899053
Enrollment ID: O20130612000051

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 Charles E 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 AddressPractice Location Address
Dr Charles E Russell, MD
3195 Dayton Xenia Rd # 900-162,
Beavercreek, OH 45434-6390

Ph: (937) 718-7677		Dr Charles E Russell, MD
2611 Wayne Ave,
Dayton, OH 45420-1833

Ph: (937) 256-7801

Reviews and Comments


Preventive Medicine Doctors in Dayton, OH

James T Lutz, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1222 S Patterson Blvd Ste 120, Dayton, OH 45402
Phone: 937-701-0099    Fax: 833-428-4745
Steven Robert Gamm, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 725 S Ludlow St, Dayton, OH 45402
Phone: 937-208-6755    
Dr. Andrew Jonathan Carey, MD
Preventive Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Wyoming St, Dayton, OH 45409
Phone: 937-208-3882    
Dr. Jaysun Gregory Frisch, MD
Preventive Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2510 5th St, Dayton, OH 45433
Phone: 937-938-2727    
Robin Dodge, MD
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3535 Salem Ave, Dayton, OH 45406
Phone: 937-278-8645    Fax: 937-276-8253
Dr. Roy Allen Hoffman, M.D.
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 2510 5th St Bldg 840, Dayton, OH 45433
Phone: 937-938-2703    
Farhad Sahiar, MD
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3535 Salem Ave, Dayton, OH 45406
Phone: 937-278-8645    Fax: 937-276-8253

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.