| Laine C Russell, DO | |
|
407 S Medical Arts Ct, Suite F, Gillette, WY 82716-3372 | |
| (307) 682-1441 | |
| (307) 686-3619 |
| Full Name | Laine C Russell |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 407 S Medical Arts Ct, Gillette, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578552444 | NPI | - | NPPES |
| 0078812 | Medicaid | MT | |
| 312895 | Other | WY | BLUE CROSS BLUE SHIELD |
| P00140483 | Other | WY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6623A (Wyoming) | Primary |
| Entity Name | Campbell County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Laine C Russell, DO 407 S Medical Arts Ct, Suite F, Gillette, WY 82716-3372 Ph: (307) 682-1441 | Laine C Russell, DO 407 S Medical Arts Ct, Suite F, Gillette, WY 82716-3372 Ph: (307) 682-1441 |
Ms. Patricia Lucile Shull, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-9255 Fax: 307-685-6438 | |
Kelly L Mcmillin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 709 W 8th St, Suite 4, Gillette, WY 82716 Phone: 307-682-3333 Fax: 307-682-6723 | |
Jennifer J Thomas, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 469 Highway 50, Gillette, WY 82718 Phone: 307-387-9850 Fax: 307-387-9883 | |
Dr. Ahmed Sayed Ahmed Mohamed Sayed Ahmed, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 469 Highway 50, Gillette, WY 82718 Phone: 307-387-9850 Fax: 307-387-9890 | |
Dr. Leslie J Mclean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-3052 | |
Timothy P Hallinan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 709 W 8th St, Family Medical Care, Gillette, WY 82716 Phone: 307-682-3333 | |
Timothy Dean Bohlender, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 501 S. Burma Ave., Gillette, WY 82716 Phone: 307-688-9255 Fax: 307-688-7920 |