Keith Perry Russell, MD | |
200 State Highway 30 W, New Albany, MS 38652-3112 | |
(800) 889-8610 | |
(601) 982-7909 |
Full Name | Keith Perry Russell |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 13 Years |
Location | 200 State Highway 30 W, New Albany, Mississippi |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326335886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | T-2483 (Mississippi) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 24818 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Mississippi Medical Center | Tupelo, MS | Hospital |
Clay County Medical Corporation | West point, MS | Hospital |
Winston Medical Center & Swingbed | Louisville, MS | Hospital |
North Mississippi Medical Center-gilmore Amory | Amory, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Memorial Hospital-calhoun Inc | 5395024210 | 20 |
Choctaw Regional Medical Center | 2567682206 | 26 |
Imaging Center At Gloster Creek Village Pllc | 5991771255 | 15 |
Imaging Centers For Excellence, Llc | 6406854538 | 15 |
Medical Imaging, Llc | 5698731271 | 15 |
Oxford Pre Op And Imaging Center Llc | 0840444998 | 16 |
Premier Radiology Inc | 2769452242 | 20 |
Tate County Hospital | 6103282165 | 22 |
Entity Name | Premier Radiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083669121 PECOS PAC ID: 2769452242 Enrollment ID: O20040730000681 |
Entity Name | Imaging Center At Gloster Creek Village Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907536 PECOS PAC ID: 5991771255 Enrollment ID: O20040908000606 |
Entity Name | Medical Imaging, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316075864 PECOS PAC ID: 5698731271 Enrollment ID: O20041206000515 |
Entity Name | Tippah County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891720009 PECOS PAC ID: 5193746709 Enrollment ID: O20051212000167 |
Entity Name | Imaging Centers For Excellence, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730281148 PECOS PAC ID: 6406854538 Enrollment ID: O20061127000362 |
Entity Name | Oxford Pre Op & Imaging Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750646436 PECOS PAC ID: 0840444998 Enrollment ID: O20130125000383 |
Entity Name | Radiology Physicians Of New Albany Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861822587 PECOS PAC ID: 9638302300 Enrollment ID: O20140502001561 |
Entity Name | Choctaw Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235547878 PECOS PAC ID: 2567682206 Enrollment ID: O20141215002502 |
Entity Name | Baptist Memorial Hospital-calhoun Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881142461 PECOS PAC ID: 5395024210 Enrollment ID: O20161203000022 |
Entity Name | Tate County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285331298 PECOS PAC ID: 6103282165 Enrollment ID: O20230517000566 |
Mailing Address | Practice Location Address |
---|---|
Keith Perry Russell, MD Po Box 4767, Jackson, MS 39296-4767 Ph: (800) 889-8610 | Keith Perry Russell, MD 200 State Highway 30 W, New Albany, MS 38652-3112 Ph: (800) 889-8610 |