| Dr Robert Laron Russell, MD | |
|
14585 Dover Dr, Carmel, IN 46033-8561 | |
| (314) 703-5269 | |
| Not Available |
| Full Name | Dr Robert Laron Russell |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 14585 Dover Dr, Carmel, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407052376 | NPI | - | NPPES |
| 000001161691 | Other | ANTHEM | |
| 201214540 | Medicaid | IN |
| Entity Name | Cnp Operating Co Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518386739 PECOS PAC ID: 8325263734 Enrollment ID: O20201105002659 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Laron Russell, MD 14585 Dover Dr, Carmel, IN 46033-8561 Ph: (314) 703-5269 | Dr Robert Laron Russell, MD 14585 Dover Dr, Carmel, IN 46033-8561 Ph: (314) 703-5269 |
Shania Grace Mayer, PA-C Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 10300 N Illinois St Ste 1100, Carmel, IN 46290 Phone: 317-944-0980 | |
Robert Mark Kinn, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 13806 Stone Dr, Carmel, IN 46032 Phone: 317-893-1900 | |
Olivia Ann Fondoble, M.D. Geriatric Medicine Medicare: May Accept Medicare Assignments Practice Location: 13430 N Meridian St Ste 280, Carmel, IN 46032 Phone: 317-582-8030 | |
Dr. Peter Jerome Bustamante, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 13450 N Meridian St Ste 354, Carmel, IN 46032 Phone: 317-338-5100 | |
Thomas L Hutchinson, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 11725 Illinois Street, Suite 465, Carmel, IN 46032 Phone: 317-817-0010 Fax: 317-817-0012 | |
Eric Bain, Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 10590 N Meridian St, Carmel, IN 46290 Phone: 317-338-6666 | |
Chintan J Amin, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 11725 Illinois St Ste 325, Carmel, IN 46032 Phone: 317-688-5800 Fax: 317-688-5805 |