Korah Ann Russell, is a
Pediatrics - Developmental - Behavioral Pediatrics physician based in Kirkwood, New York. Korah Ann Russell is licensed to practice in New York (license number 3182214) and her current practice location is 236 Burts Rd, Kirkwood, New York. She can be reached at her office (for appointments etc.) via phone at
(877) 426-3307.
NPI number for Korah Ann Russell is 1922809672 and her current mailing address is 145 Barker Rd Apt A, Whitney Point, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922809672.
Physician's Profile
Full Name | Korah Ann Russell |
---|
Gender | Female |
---|
Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
---|
Location | 236 Burts Rd, Kirkwood, New York |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922809672
- Provider Enumeration Date: 03/20/2025
- Last Update Date: 03/20/2025
Medical Identifiers
Medical identifiers for Korah Ann Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922809672 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 3182214 (New York) | Primary |
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. Korah Ann Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Korah Ann Russell, 145 Barker Rd Apt A, Whitney Point, NY 13862-2608 Ph: (607) 206-3195 | Korah Ann Russell, 236 Burts Rd, Kirkwood, NY 13795-1731 Ph: (877) 426-3307 |
Reviews and Comments