| Dr Elizabeth Joyce Russell, MD | |
|
820 Arbutus Ave, Oconto, WI 54153-2004 | |
| (920) 835-1100 | |
| (920) 835-1099 |
| Full Name | Dr Elizabeth Joyce Russell |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 820 Arbutus Ave, Oconto, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851301253 | NPI | - | NPPES |
| 537527 | Other | AMERICAN BOARD OF FAMILY MEDICINE | |
| 1851477913 | Other | WI | CMH NPI |
| 32194900 | Medicaid | WI | |
| 11014110 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 37344 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bellin Health Oconto Hospital | Oconto, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oconto Hospital And Medical Center Inc | 2163461781 | 188 |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Entity Name | Oconto Hospital & Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836 |
| Entity Name | Green Bay Emergency Medicine Services Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366424111 PECOS PAC ID: 9335170083 Enrollment ID: O20050823000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elizabeth Joyce Russell, MD Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7210 | Dr Elizabeth Joyce Russell, MD 820 Arbutus Ave, Oconto, WI 54153-2004 Ph: (920) 835-1100 |
Charles J Heyka, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-1100 Fax: 920-835-1099 | |
John S Honish, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 620 Smith Ave, Oconto, WI 54153 Phone: 920-496-4700 Fax: 920-496-4705 | |
Thomas J. Knutson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 103 1st St, Oconto, WI 54153 Phone: 920-835-1144 Fax: 920-835-1145 |