Dr Russell J Proctor, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Orange Beach, Alabama. He went to Indiana University School Of Medicine and graduated in 1969 and has 56 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Foley Clinic Corp. and his current practice location is
25908 Canal Rd Ste D, Orange Beach, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 952-6653.
Dr Russell J Proctor is licensed to practice in Alabama (license number 18875) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962511790.
Physician's Profile
| Full Name | Dr Russell J Proctor |
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| Gender | Male |
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| Speciality | Pulmonary Disease |
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| Experience | 56 Years |
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| Location | 25908 Canal Rd Ste D, Orange Beach, Alabama |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Russell J Proctor attended and graduated from Indiana University School Of Medicine in 1969
NPI Data:
- NPI Number: 1962511790
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 08/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022081215
- Enrollment ID: I20051216000747
Medical Identifiers
Medical identifiers for Dr Russell J Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962511790 | NPI | - | NPPES |
| 253180 | Medicaid | AL | |
| 253177 | Medicaid | AL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RS0012X | Internal Medicine - Sleep Medicine | 18875 (Alabama) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 18875 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Foley Clinic Corp. | 5193741759 | 75 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Russell J Proctor allows following entities to bill medicare on his behalf.
| Entity Name | Foley Clinic Corp. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629027826
PECOS PAC ID: 5193741759
Enrollment ID: O20051021000930 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Russell J Proctor is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Russell J Proctor, MD
Po Box 689022,
Franklin, TN 37068-9022
Ph: (615) 465-7390 | Dr Russell J Proctor, MD
25908 Canal Rd Ste D,
Orange Beach, AL 36561-5015
Ph: (251) 952-6653 |
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