Kimberly Russell, MD in Brockton, MA - Medicare Otolaryngology

Kimberly Russell, MD is a medicare enrolled "Otolaryngology" physician in Brockton, Massachusetts. She went to Boston University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Ent Specialists, Inc and her current practice location is 35 Pearl St Ste 100, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 588-8034.

Kimberly Russell is licensed to practice in Massachusetts (license number 269874) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326305905.

Contact Information

	Kimberly Russell, MD
	35 Pearl St Ste 100, Brockton, MA 02301-2866
	(508) 588-8034
	(508) 588-5969

Map and Direction

Physician's Profile

Full Name	Kimberly Russell
Gender	Female
Speciality	Otolaryngology
Experience	7 Years
Location	35 Pearl St Ste 100, Brockton, Massachusetts
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Russell attended and graduated from Boston University School Of Medicine in 2017

NPI Data:

NPI Number: 1326305905
Provider Enumeration Date: 04/19/2012
Last Update Date: 04/17/2018

Medicare PECOS Information:

PECOS PAC ID: 2365714714
Enrollment ID: I20170919004006

Medical Identifiers

Medical identifiers for Kimberly Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326305905	NPI	-	NPPES
110102733A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	269874 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Morton Hospital	Taunton, MA	Hospital
Sturdy Memorial Hospital	Attleboro, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ent Specialists, Inc	0648353888	19

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Russell allows following entities to bill medicare on her behalf.

Entity Name	Milford Regional Physician Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902856024 PECOS PAC ID: 5597679449 Enrollment ID: O20040503001341

Entity Name	Ent Specialists, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548319809 PECOS PAC ID: 0648353888 Enrollment ID: O20080212000418

Entity Name	Ent Norwood Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265749907 PECOS PAC ID: 9234476318 Enrollment ID: O20190128002049

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Russell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Russell, MD 35 Pearl St, Ste 100, Brockton, MA 02301-2866 Ph: (508) 588-8034	Kimberly Russell, MD 35 Pearl St Ste 100, Brockton, MA 02301-2866 Ph: (508) 588-8034

Reviews and Comments

Otolaryngology Doctors in Brockton, MA

H Dennis Snyder, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 35 Pearl St Ste 100, Brockton, MA 02301 Phone: 508-588-8034 Fax: 508-588-5969
Russell S Shu, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 35 Pearl St Ste 100, Brockton, MA 02301 Phone: 508-588-8034 Fax: 508-588-5969
Walid Ibrahim Dagher, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 35 Pearl St Ste 100, Brockton, MA 02301 Phone: 508-588-8034 Fax: 508-588-5969
Douglas A O'brien, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 35 Pearl St Ste 100, Brockton, MA 02301 Phone: 508-588-8034 Fax: 508-588-5969
Dr. Ameer Trilok Shah, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 35 Pearl St Ste 200, Brockton, MA 02301 Phone: 508-588-8034 Fax: 508-897-0475
Pratik S Pradhan, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 35 Pearl St Ste 100, Brockton, MA 02301 Phone: 508-588-8034 Fax: 508-588-5969

Kimberly Russell, MD - Medicare Otolaryngology in Brockton, MA