| Dr Robert Burke Russell, MD | |
|
29 L V Stabler Dr, Greenville, AL 36037-3850 | |
| (251) 968-7474 | |
| Not Available |
| Full Name | Dr Robert Burke Russell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 29 L V Stabler Dr, Greenville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710935663 | NPI | - | NPPES |
| 051556309 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 00004219 (Alabama) | Primary |
| Entity Name | Immediate Care Foley, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508106592 PECOS PAC ID: 9830330695 Enrollment ID: O20130722000277 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Burke Russell, MD Po Box 689022, Franklin, TN 37068-9022 Ph: (615) 778-8468 | Dr Robert Burke Russell, MD 29 L V Stabler Dr, Greenville, AL 36037-3850 Ph: (251) 968-7474 |
Dr. Audrey Maria Hodge, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 29 L V Stabler Dr, Greenville, AL 36037 Phone: 334-382-2671 | |
Danny Trammel Hood, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 N College St, Greenville, AL 36037 Phone: 334-382-2681 Fax: 334-383-9884 | |
Dr. Wayne L. Martin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 29 L V Stabler Dr, Greenville, AL 36037 Phone: 334-284-2787 |