| Dr Russell E Belenchia, DO | |
|
24345 Highway 15, Union, MS 39365-8575 | |
| (601) 774-8211 | |
| (601) 774-8589 |
| Full Name | Dr Russell E Belenchia |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 43 Years |
| Location | 24345 Highway 15, Union, Mississippi |
| 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 |
|---|---|---|---|
| 1700868452 | NPI | - | NPPES |
| 00115507 | Medicaid | MS | |
| 080168657 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10063 (Mississippi) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 10063 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Quality Hospice Care, Inc | Philadelphia, MS | Hospice |
| Laird Hospital Inc | Union, MS | Hospital |
| Neshoba County General Hospital | Philadelphia, MS | Hospital |
| Rush Foundation Hospital | Meridian, MS | Hospital |
| J G Alexander Nursing Center | Union, MS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Systems Management, Llc | 5092964643 | 36 |
| Entity Name | Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
| Entity Name | Medical Systems Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740555267 PECOS PAC ID: 5092964643 Enrollment ID: O20131024001113 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Russell E Belenchia, DO Po Box 2106, Meridian, MS 39302-2106 Ph: (601) 703-4282 | Dr Russell E Belenchia, DO 24345 Highway 15, Union, MS 39365-8575 Ph: (601) 774-8211 |
Gloria Graham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24345 Highway 15, Union, MS 39365 Phone: 601-774-8211 |