| Dr Inna V Russell, MD | |
|
250 Green Street, Suite 107, Gardner, MA 01440 | |
| (978) 630-5050 | |
| (978) 630-5059 |
| Full Name | Dr Inna V Russell |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 34 Years |
| Location | 250 Green Street, Gardner, Massachusetts |
| 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 |
|---|---|---|---|
| 1376786434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 238630 (Massachusetts) | Primary |
| 207V00000X | Obstetrics & Gynecology | 01076359A (Indiana) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dhp Of Indiana, Pc | 9931579075 | 2 |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Entity Name | Norton Clark Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083098651 PECOS PAC ID: 0840504114 Enrollment ID: O20150730011797 |
| Entity Name | La Porte Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751 |
| Entity Name | Dhp Of Indiana, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588387450 PECOS PAC ID: 9931579075 Enrollment ID: O20230105001619 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Inna V Russell, MD 250 Green Street, Suite 107, Gardner, MA 01440 Ph: (978) 630-5050 | Dr Inna V Russell, MD 250 Green Street, Suite 107, Gardner, MA 01440 Ph: (978) 630-5050 |
Andrea M. Damour, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 250 Green St, Gardner, MA 01440 Phone: 978-630-5050 Fax: 978-630-5059 | |
Jeffrey D. Blake, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 250 Green St, Gardner, MA 01440 Phone: 978-630-5050 Fax: 978-630-5059 |