| James Patrick Russell, MD | |
|
13800 W North Ave, Ste 100, Brookfield, WI 53005-4974 | |
| (262) 754-4488 | |
| (262) 754-4940 |
| Full Name | James Patrick Russell |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 24 Years |
| Location | 13800 W North Ave, Brookfield, Wisconsin |
| 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 |
|---|---|---|---|
| 1235122870 | NPI | - | NPPES |
| 34688800 | Medicaid | WI | |
| P00368881 | Other | WI | RAILROAD MEDICARE |
| P00384061 | Other | WI | RAILROAD MEDICARE |
| P00364352 | Other | WI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 47855020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Medical College Of Wisconsin Inc | 2668384371 | 1902 |
| Affiliated Dermatologists Sc | 8123065794 | 12 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Affiliated Dermatologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407849011 PECOS PAC ID: 8123065794 Enrollment ID: O20050414000817 |
| Mailing Address | Practice Location Address |
|---|---|
| James Patrick Russell, MD 13800 W North Ave, Ste 100, Brookfield, WI 53005-4974 Ph: (262) 754-4488 | James Patrick Russell, MD 13800 W North Ave, Ste 100, Brookfield, WI 53005-4974 Ph: (262) 754-4488 |
Dr. James L. Troy, MD Dermatology Medicare: Medicare Enrolled Practice Location: 12805 W Burleigh Rd, Suite 200, Brookfield, WI 53005 Phone: 262-797-6434 Fax: 262-797-6429 | |
Dr. Manish J Gharia, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave Ste 100, Brookfield, WI 53005 Phone: 262-754-4940 Fax: 262-754-4940 | |
Sun Young Ruggeri, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Glenn Eugene Sondag, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Kristina Ann Kleven, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Thomas Joseph Russell, MD Dermatology Medicare: Medicare Enrolled Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 |