Dr Warren King Russell, MD is a medicare enrolled "Emergency Medicine" physician in Harwich, Massachusetts. He graduated from medical school in 1989 and has 37 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Pleasant Lake Medical Center Llc and his current practice location is
253 Pleasant Lake Ave Ste 100, Harwich, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(508) 432-5233.
Dr Warren King Russell is licensed to practice in Massachusetts (license number 161298) 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 1942251467.
Physician's Profile
| Full Name | Dr Warren King Russell |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 37 Years |
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| Location | 253 Pleasant Lake Ave Ste 100, Harwich, Massachusetts |
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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. |
Medical Education and Training:
- Dr Warren King Russell graduated from medical school in 1989
NPI Data:
- NPI Number: 1942251467
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 12/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 0840219267
- Enrollment ID: I20051115000823
Medical Identifiers
Medical identifiers for Dr Warren King Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942251467 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 161298 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Pleasant Lake Medical Center Llc | 1951741057 | 6 |
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 Warren King Russell allows following entities to bill medicare on his behalf.
| Entity Name | Steward Emergency Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780971275 PECOS PAC ID: 0244401404 Enrollment ID: O20110919000768 |
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| Entity Name | Vohra Post Acute Care Physicians Of The Northeast Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275969131 PECOS PAC ID: 9335378066 Enrollment ID: O20140227000775 |
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| Entity Name | Pleasant Lake Medical Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831879501 PECOS PAC ID: 1951741057 Enrollment ID: O20240506001497 |
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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 Warren King 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 Address | Practice Location Address |
Dr Warren King Russell, MD 253 Pleasant Lake Ave Ste 100, Harwich, MA 02645-2540 Ph: (401) 474-3987 | Dr Warren King Russell, MD 253 Pleasant Lake Ave Ste 100, Harwich, MA 02645-2540 Ph: (508) 432-5233 |
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