| Dr Richard B Russell, DO | |
|
121 N Tulpehocken St, Pine Grove, PA 17963-1217 | |
| (570) 345-2345 | |
| (570) 345-2350 |
| Full Name | Dr Richard B Russell |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 47 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 |
|---|---|---|---|
| 1144213240 | NPI | - | NPPES |
| 0007538350005 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS004201L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Hospital | Lebanon, PA | Hospital |
| Schuylkill Medical Center - South Jackson Street | Pottsville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 Richard B Russell, DO 121 N Tulpehocken St, Pine Grove, PA 17963-1217 Ph: (570) 345-2345 | Dr Richard B Russell, DO 121 N Tulpehocken St, Pine Grove, PA 17963-1217 Ph: (570) 345-2345 |
Dr. Stanley J Gorski, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Oak Grove Rd, Suite 1, Pine Grove, PA 17963 Phone: 570-345-3321 Fax: 570-345-6470 | |
Dr. Thomas G Watson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8 Oak Grove Rd, Suite 1, Pine Grove, PA 17963 Phone: 570-345-3321 Fax: 570-345-6470 | |
Michael John Bradley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Oak Grove Rd Ste 1, Pine Grove, PA 17963 Phone: 570-345-3321 Fax: 570-345-6470 | |
Dr. Francis Patrick Mohan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Oak Grove Rd, Suite 1, Pine Grove, PA 17963 Phone: 570-345-3321 Fax: 570-345-6470 |