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 Oxford Pre Op And Imaging Center Llc, Premier Radiology Inc, Baptist Memorial Hospital - Calhoun Inc, Winston County Medical Foundation, Imaging Center At Gloster Creek Village Pllc, Tate County Hospital, Boa Vida Hospital Of Aberdeen Ms Llc, Premier Radiology Inc, Washington University Physicians In Illinois Inc, Premier Radiology Inc, North Mississippi Medical Center, Inc., Choctaw Regional Medical Center, Medical Imaging, Llc 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: I20240910000433

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
Tishomingo Health Services IncIuka, MSHospital
Memorial HospitalBelleville, ILHospital
Webster General Hospital/ Swing BedEupora, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oxford Pre Op And Imaging Center Llc084044499821
Premier Radiology Inc276945224226
Baptist Memorial Hospital - Calhoun Inc539502421024
Winston County Medical Foundation731594325529
Imaging Center At Gloster Creek Village Pllc599177125520
Tate County Hospital610328216533
Boa Vida Hospital Of Aberdeen Ms Llc024450584072
Premier Radiology Inc276945224226
Washington University Physicians In Illinois Inc4789945163162
Premier Radiology Inc276945224226
North Mississippi Medical Center, Inc.9931010600365
Choctaw Regional Medical Center256768220638
Medical Imaging, Llc569873127120

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 NamePremier Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083669121
PECOS PAC ID: 2769452242
Enrollment ID: O20040730000681
Entity NameImaging Center At Gloster Creek Village Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417907536
PECOS PAC ID: 5991771255
Enrollment ID: O20040908000606
Entity NameMedical Imaging, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316075864
PECOS PAC ID: 5698731271
Enrollment ID: O20041206000515
Entity NameWinston County Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316078108
PECOS PAC ID: 7315943255
Enrollment ID: O20061017000019
Entity NameImaging Centers For Excellence, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730281148
PECOS PAC ID: 6406854538
Enrollment ID: O20061127000362
Entity NameOxford Pre Op & Imaging Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750646436
PECOS PAC ID: 0840444998
Enrollment ID: O20130125000383
Entity NameChoctaw Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235547878
PECOS PAC ID: 2567682206
Enrollment ID: O20141215002502
Entity NameBaptist Memorial Hospital - Calhoun Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881142461
PECOS PAC ID: 5395024210
Enrollment ID: O20161203000022
Entity NameBoa Vida Hospital Of Aberdeen Ms Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710405741
PECOS PAC ID: 0244505840
Enrollment ID: O20171128003460
Entity NameTate County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285331298
PECOS PAC ID: 6103282165
Enrollment ID: O20230517000566

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: Accepting Medicare Assignments
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-412-9833    
Adam Randall 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: Accepting Medicare Assignments
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: May Accept Medicare Assignments
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.