| Dr Richard John Russell, MD | |
|
200 Hawkins Dr, Iowa City, IA 52242-1009 | |
| (319) 356-2366 | |
| (319) 356-2940 |
| Full Name | Dr Richard John Russell |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 200 Hawkins Dr, Iowa City, Iowa |
| 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 |
|---|---|---|---|
| 1861471443 | NPI | - | NPPES |
| 79550762 | Medicaid | CO | |
| P01223541 | Other | CO | RR MEDICARE |
| 0005673 | Other | SD | WELLMARK NUMBER |
| 050059966 | Other | SD | RAILROAD MEDICARE |
| 5700780 | Medicaid | SD | |
| 113538400 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | DR.0051868 (Colorado) | Secondary |
| 207L00000X | Anesthesiology | 2152 (Wisconsin) | Secondary |
| 207L00000X | Anesthesiology | MD-51255 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkview Ancillary Services Corporation | 4385722511 | 273 |
| Entity Name | Northern Colorado Anesthesia Professionals Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851389613 PECOS PAC ID: 6800878760 Enrollment ID: O20040603001119 |
| Entity Name | Parkview Ancillary Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard John Russell, MD 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 356-2366 | Dr Richard John Russell, MD 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 356-2366 |
Clark Joseph Obr, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2633 Fax: 319-356-2940 | |
Mr. Joseph D. King, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2633 Fax: 319-356-2940 | |
Dr. Chaitra Mukundan, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2633 | |
Bennett Allen Hartmann, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 E Market St, Iowa City, IA 52245 Phone: 319-354-2653 | |
Dr. Gic-owens Alcedo Fiestan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-7205 | |
Mrs. Judith Burton Dillman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 500 E Market St, Iowa City, IA 52245 Phone: 319-354-2653 Fax: 319-339-1364 | |
Shawn T Simmons, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2633 Fax: 319-356-2940 |