Dr Timothy Glenn Russell, MD - Medicare Diagnostic Radiology in Fort Campbell, KY

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Dr Timothy Glenn Russell, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Campbell, Kentucky. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 2014 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Premier Radiology Inc, Boa Vida Hospital Of Aberdeen Ms Llc, Oxford Pre Op And Imaging Center Llc, Choctaw Regional Medical Center, Premier Radiology Inc, Baptist Memorial Hospital - Calhoun Inc, Medical Imaging, Llc, Imaging Center At Gloster Creek Village Pllc, Tate County Hospital, Imaging Centers For Excellence, Llc, Winston County Medical Foundation, Premier Radiology Inc and his current practice location is 650 Joel Dr, Fort Campbell, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 798-8768.

Dr Timothy Glenn Russell is licensed to practice in Mississippi (license number 28048) 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 1073937132.

Contact Information

Dr Timothy Glenn Russell, MD
650 Joel Dr,
Fort Campbell, KY 42223-5318
(270) 798-8768
Not Available

Map and Direction




Physician's Profile

Full NameDr Timothy Glenn Russell
GenderMale
SpecialityDiagnostic Radiology
Experience12 Years
Location650 Joel Dr, Fort Campbell, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Timothy Glenn Russell attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 2014
  NPI Data:
  • NPI Number: 1073937132
  • Provider Enumeration Date: 02/10/2014
  • Last Update Date: 12/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1759710874
  • Enrollment ID: I20221130000040

Medical Identifiers

Medical identifiers for Dr Timothy Glenn Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073937132NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 28944 (Nebraska)Secondary
2085R0202XRadiology - Diagnostic Radiology 28048 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Mississippi Medical CenterTupelo, MSHospital
North Mississippi Medical Center-gilmore AmoryAmory, MSHospital
Winston Medical Center & SwingbedLouisville, MSHospital
Webster General Hospital/ Swing BedEupora, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Radiology Inc276945224226
Boa Vida Hospital Of Aberdeen Ms Llc024450584061
Oxford Pre Op And Imaging Center Llc084044499819
Choctaw Regional Medical Center256768220632
Premier Radiology Inc276945224226
Baptist Memorial Hospital - Calhoun Inc539502421024
Medical Imaging, Llc569873127118
Imaging Center At Gloster Creek Village Pllc599177125520
Tate County Hospital610328216528
Imaging Centers For Excellence, Llc640685453815
Winston County Medical Foundation731594325528
Premier Radiology Inc276945224226

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 Timothy Glenn Russell allows following entities to bill medicare on his behalf.
Entity NameLouisville Radiology Imaging Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639115447
PECOS PAC ID: 2264436120
Enrollment ID: O20140303000190
Entity NameAdi Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083266761
PECOS PAC ID: 7911236427
Enrollment ID: O20190909003468
Entity NameImaging Associates Of Michigan Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164943007
PECOS PAC ID: 9537434386
Enrollment ID: O20200601000722
Entity NameColumbus Radiology Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669408159
PECOS PAC ID: 6507754983
Enrollment ID: O20200713001637
Entity NameEmpire State Radiology P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255962783
PECOS PAC ID: 4385075241
Enrollment ID: O20200806003259
Entity NameGreensboro Radiology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821035999
PECOS PAC ID: 8729074901
Enrollment ID: O20200915003468
Entity NameSpecialists In Medical Imaging Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841687951
PECOS PAC ID: 2163733544
Enrollment ID: O20201030001029
Entity NameImaging Associates Of Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699072611
PECOS PAC ID: 1254503345
Enrollment ID: O20201210001933
Entity NameRadiology Associates Of Southwest Louisiana
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033215710
PECOS PAC ID: 0941243562
Enrollment ID: O20220407000259
Entity NamePremier Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083669121
PECOS PAC ID: 2769452242
Enrollment ID: O20240216003672

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 Timothy Glenn Russell 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 AddressPractice Location Address
Dr Timothy Glenn Russell, MD
965 Ridge Lake Blvd Ste 315,
Memphis, TN 38120-9401

Ph: (901) 227-7015		Dr Timothy Glenn Russell, MD
650 Joel Dr,
Fort Campbell, KY 42223-5318

Ph: (270) 798-8768

Reviews and Comments


Radiology Doctors in Fort Campbell, KY

Ryan Grippo, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8333    
Rastislav Osadsky, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-412-9833    
Adam Moeck,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 123-456-7891    
Dr. Scott A Raber, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8400    
Dr. Stephen Michael Melnyk, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8400    
Minh Kenney,
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Drive, Department Of Radiology, Fort Campbell, KY 42223
Phone: 270-798-8388    
Trevor James Reitz,
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 561-704-6588    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.