Dr Kirk Shane Russell, MD - Medicare Radiology in Fort Liberty, NC

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Dr Kirk Shane Russell, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Fort Liberty, North Carolina. His current practice location is Womack Army Medical Center 2817 Rock Merritt Ave, Fort Liberty, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 907-8707.

Dr Kirk Shane Russell is licensed to practice in North Carolina (license number 2014-02064) 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 1912075631.

Contact Information

Dr Kirk Shane Russell, MD
Womack Army Medical Center 2817 Rock Merritt Ave,
Fort Liberty, NC 28310-6644
(910) 907-8707
(910) 907-8707

Map and Direction




Physician's Profile

Full NameDr Kirk Shane Russell
GenderMale
SpecialityRadiology - Vascular & Interventional Radiology
LocationWomack Army Medical Center 2817 Rock Merritt Ave, Fort Liberty, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912075631
  • Provider Enumeration Date: 12/01/2006
  • Last Update Date: 01/31/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2860583937
  • Enrollment ID: I20070802000664

Medical Identifiers

Medical identifiers for Dr Kirk Shane Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912075631NPI-NPPES
1912075631MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 230324 (New York)Secondary
2085R0202XRadiology - Diagnostic Radiology 2014-02064 (North Carolina)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 2014-02064 (North Carolina)Primary

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 Kirk Shane Russell allows following entities to bill medicare on his behalf.
Entity NameDowntown Bronx Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689618407
PECOS PAC ID: 9638082746
Enrollment ID: O20031106000016
Entity NameTrinity Medical Wny Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295043149
PECOS PAC ID: 5193907517
Enrollment ID: O20110307000596
Entity NameMetropolitan Medical Practice Plan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306138383
PECOS PAC ID: 8022286384
Enrollment ID: O20110713000171

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 Kirk Shane 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 Kirk Shane Russell, MD
Womack Army Medical Center 2817 Rock Merritt Ave,
Fort Liberty, NC 28310-0001

Ph: (910) 907-8707		Dr Kirk Shane Russell, MD
Womack Army Medical Center 2817 Rock Merritt Ave,
Fort Liberty, NC 28310-6644

Ph: (910) 907-8707

Reviews and Comments


Radiology Doctors in Fort Liberty, NC

George A. Binder, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310
Phone: 910-907-8707    Fax: 910-907-6069
Nicholas Yurko, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310
Phone: 910-907-6687    
Patrick Miles Chesley, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28327
Phone: 910-907-6000    

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.