| Dr Stephanie Jane Russ, DO | |
|
200 Enterprise Dr Ste A, Pendleton, IN 46064-9038 | |
| (765) 298-4567 | |
| Not Available |
| Full Name | Dr Stephanie Jane Russ |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 200 Enterprise Dr Ste A, Pendleton, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629239355 | NPI | - | NPPES |
| 200975760 | Medicaid | IN | |
| P01430098 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11014474A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital Of Anderson And Madison County | Anderson, IN | Hospital |
| Ascension St Vincent Anderson | Anderson, IN | Hospital |
| Community Hospital North | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Physicians Of Indiana Inc | 1759416662 | 1386 |
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephanie Jane Russ, DO 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: (765) 298-4569 | Dr Stephanie Jane Russ, DO 200 Enterprise Dr Ste A, Pendleton, IN 46064-9038 Ph: (765) 298-4567 |
Nathan James Stephens, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Enterprise Dr Ste A, Pendleton, IN 46064 Phone: 765-298-4567 | |
Hayat Itani, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Enterprise Dr Ste A, Pendleton, IN 46064 Phone: 765-298-4567 Fax: 765-298-4568 | |
Michael Meng, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 75 Village Dr, Pendleton, IN 46064 Phone: 765-778-0913 | |
Gary A Wright, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 75 Village Dr, Pendleton, IN 46064 Phone: 765-778-0913 | |
Traci A Anderson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Enterprise Dr Ste A, Pendleton, IN 46064 Phone: 765-298-4567 | |
Emily Elizabeth Musgrave, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3041 W Us Highway 36, Pendleton, IN 46064 Phone: 765-778-0000 |