Dr Russell Raymond Suda Sr, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Kannapolis, North Carolina. He went to Saint Louis University School Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Public Health Authority Of Cabarrus County and his current practice location is
300 Mooresville Rd, Kannapolis, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 920-1000.
Dr Russell Raymond Suda Sr is licensed to practice in North Carolina (license number 200301416) 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 1982730636.
Physician's Profile
| Full Name | Dr Russell Raymond Suda Sr |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 46 Years |
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| Location | 300 Mooresville Rd, Kannapolis, North Carolina |
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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 Raymond Suda Sr attended and graduated from Saint Louis University School Of Medicine in 1978
NPI Data:
- NPI Number: 1982730636
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 04/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749174050
- Enrollment ID: I20040209000932
Medical Identifiers
Medical identifiers for Dr Russell Raymond Suda Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982730636 | NPI | - | NPPES |
| 89135TU | Medicaid | NC | |
| 135TU | Other | NC | BCBS ID# |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 200301416 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Public Health Authority Of Cabarrus County | 1850352535 | 2 |
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 Raymond Suda Sr allows following entities to bill medicare on his behalf.
| Entity Name | Public Health Authority Of Cabarrus County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649331638
PECOS PAC ID: 1850352535
Enrollment ID: O20041026000243 |
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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 Raymond Suda Sr 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 Raymond Suda Sr, MD
300 Mooresville Road,
Kannapolis, NC 28081-0304
Ph: (704) 920-1000 | Dr Russell Raymond Suda Sr, MD
300 Mooresville Rd,
Kannapolis, NC 28081-0304
Ph: (704) 920-1000 |
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