| Jacqueline M Russell, DO | |
|
37 Palmer St Ste 3, Calais, ME 04619-1341 | |
| (207) 454-8195 | |
| Not Available |
| Full Name | Jacqueline M Russell |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 6 Years |
| Location | 37 Palmer St Ste 3, Calais, Maine |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730742107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO3305 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sunrise County Homecare Svcs. | Lubec, ME | Home health agency |
| Community Health & Counseling Services | Bangor, ME | Hospice |
| Calais Regional Hospital | Calais, ME | Hospital |
| Eastern Maine Medical Center | Bangor, ME | Hospital |
| St Joseph Hospital | Bangor, ME | Hospital |
| Down East Community Hospital | Machias, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Calais Regional Hospital | 6901715176 | 4 |
| Entity Name | Calais Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1922001049 PECOS PAC ID: 0345649158 Enrollment ID: O20210910001201 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline M Russell, DO 210 Holmes Rd, Scarborough, ME 04074-8410 Ph: (207) 995-0732 | Jacqueline M Russell, DO 37 Palmer St Ste 3, Calais, ME 04619-1341 Ph: (207) 454-8195 |
Dr. James Edward Eshleman, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 37 Palmer St Ste 3, Calais, ME 04619 Phone: 207-454-8195 | |
Carlos A Ahumada, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 37 Palmer St, Calais, ME 04619 Phone: 207-454-8195 Fax: 207-454-3840 | |
Maria Teresa Zientara, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1410 River Rd, Calais, ME 04619 Phone: 207-454-8188 | |
Laurie A Churchill, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 22 Hospital Ln, Calais, ME 04619 Phone: 207-454-7521 |