| Dr W Randall Russell, MD | |
|
100 E Lancaster Ave, Suite 151 Lankenau Mob East, Wynnewood, PA 19096-3450 | |
| (484) 476-6492 | |
| (484) 476-8147 |
| Full Name | Dr W Randall Russell |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 42 Years |
| Location | 100 E Lancaster Ave, Wynnewood, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104823475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD032388E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Main Line Health Home Care & Hospice - Home Health | Radnor, PA | Home health agency |
| Bryn Mawr Hospital | Bryn mawr, PA | Hospital |
| Riddle Memorial Hospital | Media, PA | Hospital |
| Paoli Hospital | Paoli, PA | Hospital |
| Main Line Hospital Lankenau | Wynnewood, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Main Line Healthcare | 1951215201 | 1029 |
| Entity Name | Main Line Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr W Randall Russell, MD 100 E Lancaster Ave, Suite 151 Lankenau Mob East, Wynnewood, PA 19096-3450 Ph: (484) 476-6492 | Dr W Randall Russell, MD 100 E Lancaster Ave, Suite 151 Lankenau Mob East, Wynnewood, PA 19096-3450 Ph: (484) 476-6492 |
Dr. Robert D. Smink Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-642-1908 Fax: 610-642-6808 | |
Arvind Sabesan, Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave Ste 275, Wynnewood, PA 19096 Phone: 610-642-1908 | |
Dr. Thais Reif De Paula, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Mob South 422, Wynnewood, PA 19096 Phone: 484-476-1619 Fax: 484-476-3354 | |
Charles Douglas Neff, Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-1619 | |
Pranjal Thosani, DO Surgery Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-2000 | |
Dr. Barry D Mann, MD Surgery Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Suite 275 Med Sci Bldg, Wynnewood, PA 19096 Phone: 610-642-1908 Fax: 610-642-6808 |