| Joseph Thomas Russell, DO | |
| 
					504 Lipscomb St, Bonham, TX 75418-4028  | |
| (903) 583-8585 | |
| Not Available | 
| Full Name | Joseph Thomas Russell | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 504 Lipscomb St, Bonham, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053811273 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 6746 (Oklahoma) | Secondary | 
| 207Q00000X | Family Medicine | S3449 (Texas) | Primary | 
| Entity Name | Nes Oklahoma, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1528040722 PECOS PAC ID: 1456264324 Enrollment ID: O20040726000516  | 
| Entity Name | Elite Integral Staffing Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609648062 PECOS PAC ID: 0648612341 Enrollment ID: O20240528000354  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Joseph Thomas Russell, DO 504 Lipscomb St, Bonham, TX 75418-4028 Ph: (903) 583-8585  | Joseph Thomas Russell, DO 504 Lipscomb St, Bonham, TX 75418-4028 Ph: (903) 583-8585  | 
Dana L Sisk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 N State Highway 121, Bonham, TX 75418 Phone: 903-583-3111 Fax: 903-583-1444  | |
Patrick Stephen Tan Felicitas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 N State Highway 121, Bonham, TX 75418 Phone: 903-583-3111 Fax: 903-583-1444  | |
Dr. James E Froelich Iii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2105 N Center St, Bonham, TX 75418 Phone: 903-583-3191 Fax: 903-583-3973  | |
Eric Jeffrey Williams, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 920 N Center St, Bonham, TX 75418 Phone: 903-583-6155 Fax: 903-583-3158  |