| Dr Russell Daniel Parks, MD | |
|
1 Kettle Point Ave, East Providence, RI 02914-5375 | |
| (401) 457-1500 | |
| Not Available |
| Full Name | Dr Russell Daniel Parks |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 7 Years |
| Location | 1 Kettle Point Ave, East Providence, Rhode Island |
| 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 |
|---|---|---|---|
| 1346737947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD19127 (Rhode Island) | Primary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 341291 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thibodaux Regional Medical Center | Thibodaux, LA | Hospital |
| Franklin Foundation Hospital | Franklin, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopaedic Sports Specialists Of Louisiana Llc | 5991893869 | 22 |
| Hospital Service District No 1 Of The Parish Of St Mary | 6800782541 | 24 |
| Entity Name | Hospital Service District No 1 Of The Parish Of St Mary |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699895953 PECOS PAC ID: 6800782541 Enrollment ID: O20050119000730 |
| Entity Name | Orthopaedic Sports Specialists Of Louisiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316146228 PECOS PAC ID: 5991893869 Enrollment ID: O20071112000318 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Russell Daniel Parks, MD Po Box 1119, Providence, RI 02901-1119 Ph: () - | Dr Russell Daniel Parks, MD 1 Kettle Point Ave, East Providence, RI 02914-5375 Ph: (401) 457-1500 |
Brad D. Blankenhorn, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Kettle Point Ave, East Providence, RI 02914 Phone: 401-330-1405 Fax: 401-277-0799 | |
Valentin Antoci, MD, PHD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Kettle Point Ave, East Providence, RI 02914 Phone: 401-330-1480 Fax: 401-277-0799 | |
Dr. Reuben Anthony Macias, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Kettle Point Ave, East Providence, RI 02914 Phone: 401-402-1090 | |
Dr. Andrew Nelson Vega, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Kettle Point Ave, East Providence, RI 02914 Phone: 401-457-1500 | |
Ryan A. Hoffman, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Kettle Point Ave, East Providence, RI 02914 Phone: 401-457-1500 | |
Dr. Stephen Edward Marcaccio, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Kettle Point Ave, East Providence, RI 02914 Phone: 401-457-1500 | |
Dr. David Clayton Tapscott, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Kettle Point Ave, East Providence, RI 02914 Phone: 401-457-1567 |