| Dr Russell N Mcdonald, DO | |
|
6000 39th St, Groves, TX 77619-4652 | |
| (409) 962-8509 | |
| (409) 962-9763 |
| Full Name | Dr Russell N Mcdonald |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 6000 39th St, Groves, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669451266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E8705 (Texas) | Primary |
| 207P00000X | Emergency Medicine | E8705 (Texas) | Secondary |
| Entity Name | Home Visiting Doctors Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699076794 PECOS PAC ID: 7214195999 Enrollment ID: O20120227000584 |
| Entity Name | American Visiting Doctors, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710268305 PECOS PAC ID: 5698922110 Enrollment ID: O20120905000589 |
| Entity Name | Healthcare Liaison Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881943116 PECOS PAC ID: 8426294000 Enrollment ID: O20130426000642 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Russell N Mcdonald, DO 6000 39th St, Groves, TX 77619-4652 Ph: (409) 962-8509 | Dr Russell N Mcdonald, DO 6000 39th St, Groves, TX 77619-4652 Ph: (409) 962-8509 |
Derick Wayne Young, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5301 39th St, Groves, TX 77619 Phone: 409-962-4272 Fax: 409-962-2451 |