| Dr David Thomas Russell, DO | |
|
121 N Tulpehocken St, Pine Grove, PA 17963-1217 | |
| (570) 345-2345 | |
| Not Available |
| Full Name | Dr David Thomas Russell |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 9 Years |
| Location | 121 N Tulpehocken St, Pine Grove, Pennsylvania |
| 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 |
|---|---|---|---|
| 1285097592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS019805 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeastern Home Care Services Of Pa, Llc | Elizabethtown, PA | Home health agency |
| Advantage Home Health And Hospice | Pottsville, PA | Home health agency |
| Schuylkill Medical Center - South Jackson Street | Pottsville, PA | Hospital |
| Milton S Hershey Medical Center | Hershey, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Schuylkill Health System Medical Group, Inc. | 0840285532 | 14 |
| Lehigh Valley Physician Group | 3072425123 | 2138 |
| Entity Name | Lehigh Valley Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Entity Name | Schuylkill Health System Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588603567 PECOS PAC ID: 0840285532 Enrollment ID: O20040420001197 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Thomas Russell, DO Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Dr David Thomas Russell, DO 121 N Tulpehocken St, Pine Grove, PA 17963-1217 Ph: (570) 345-2345 |
Dr. Robert A Scalia, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Tremont Rd, Pine Grove, PA 17963 Phone: 570-915-6497 Fax: 570-915-6631 |