| Kimberly A Russell, MD | |
|
105 Fm 2342, Kingsland, TX 78639-6010 | |
| (325) 388-9400 | |
| (325) 388-9422 |
| Full Name | Kimberly A Russell |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 105 Fm 2342, Kingsland, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174505796 | NPI | - | NPPES |
| 151137001 | Medicaid | TX | |
| 152231001 | Medicaid | TX | |
| 130873101 | Other | TX | FIRSTCARE |
| 8398K2 | Other | TX | BCBS |
| 82693 | Other | TX | SCOTT WHITE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J6710 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Home Health Of Central Texas | Marble falls, TX | Home health agency |
| Texas Home Health Group Of Marble Falls, Llc | Marble falls, TX | Home health agency |
| Baylor Scott & White Medical Center - Marble Falls | Marble falls, TX | Hospital |
| Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Hospital - Marble Falls | 6901117175 | 31 |
| Scott And White Clinic | 8123923604 | 2276 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Entity Name | Scott & White Hospital - Marble Falls |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295397859 PECOS PAC ID: 6901117175 Enrollment ID: O20190926002132 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly A Russell, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Kimberly A Russell, MD 105 Fm 2342, Kingsland, TX 78639-6010 Ph: (325) 388-9400 |
Grady F Miller, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Fm 2342, Kingsland, TX 78639 Phone: 325-388-9400 Fax: 325-388-9422 | |
Ryan P Allen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Fm 2342, Kingsland, TX 78639 Phone: 325-388-9400 Fax: 325-388-9422 | |
Alan E. Leifeste Ii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Rr 2900, Kingsland, TX 78639 Phone: 512-715-3106 Fax: 325-388-6935 |