| Leslie A Russell, MD | |
|
401 15th Ave S Suite 204, Radilogy Montana, Pc, Great Falls, MT 59405 | |
| (406) 727-0484 | |
| (406) 453-9504 |
| Full Name | Leslie A Russell |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 401 15th Ave S Suite 204, Great Falls, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730273160 | NPI | - | NPPES |
| 0100436 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 7345 (Montana) | Primary |
| Entity Name | Inland Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851352348 PECOS PAC ID: 6608763016 Enrollment ID: O20161122002172 |
| Entity Name | Integra Imaging Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205189461 PECOS PAC ID: 1355593062 Enrollment ID: O20161130001365 |
| Entity Name | Inland Imaging Associates Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982236469 PECOS PAC ID: 7810327210 Enrollment ID: O20200629003994 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie A Russell, MD 401 15th Ave S Suite 204, Radilogy Montana, Pc, Great Falls, MT 59405 Ph: (406) 727-0484 | Leslie A Russell, MD 401 15th Ave S Suite 204, Radilogy Montana, Pc, Great Falls, MT 59405 Ph: (406) 727-0484 |
Kelcie Lee Foshag, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-455-5000 | |
Dr. Andrew Clawson Baugh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 15th Ave S Ste 204, Great Falls, MT 59405 Phone: 406-727-0484 Fax: 406-453-9504 | |
Anastasia Marie Balius, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-455-5000 | |
Michael J. Walters, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-455-5000 Fax: 406-731-8318 | |
Ronald T. Egan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5 Bob Marshall Pl, Great Falls, MT 59404 Phone: 406-727-5939 Fax: 406-727-5939 | |
Dr. Kelly Jane Underhill, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 15th Ave S, Great Falls, MT 59405 Phone: 406-454-2171 | |
Gary L. Schumacher, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-455-5665 |