Mark R Russell, MD in Nashville, TN

Mark R Russell, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Nashville, Tennessee. His current practice location is 3601 The Vanderbilt Clinic, Nashville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 322-3000.

Mark R Russell is licensed to practice in Tennessee (license number 17613) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053307223.

Contact Information

	Mark R Russell, MD
	3601 The Vanderbilt Clinic, Nashville, TN 37232-2201
	(615) 322-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark R Russell
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	3601 The Vanderbilt Clinic, Nashville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053307223
Provider Enumeration Date: 09/23/2005
Last Update Date: 06/21/2023

Medicare PECOS Information:

PECOS PAC ID: 9537290366
Enrollment ID: I20111102000526

Medical Identifiers

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

Identifier	Type	State	Issuer
1053307223	NPI	-	NPPES
0093881	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD0000017613 (Tennessee)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	17613 (Tennessee)	Primary

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. Mark R Russell allows following entities to bill medicare on his behalf.

Entity Name	Williamson Imaging, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578581294 PECOS PAC ID: 3375447139 Enrollment ID: O20031122000094

Entity Name	Vanderbilt Imaging Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144241985 PECOS PAC ID: 2163417882 Enrollment ID: O20040420000724

Entity Name	One Hundred Oaks Imaging,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245485549 PECOS PAC ID: 1355490756 Enrollment ID: O20090513000651

Entity Name	Vanderbilt Imaging Services, Llc
Entity Type	Part B Supplier - Independent Diagnostic Testing Facility (idtf)
Entity Identifiers	NPI Number: 1457644429 PECOS PAC ID: 2163417882 Enrollment ID: O20111118000122

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. Mark R 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
Mark R Russell, MD 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: () -	Mark R Russell, MD 3601 The Vanderbilt Clinic, Nashville, TN 37232-2201 Ph: (615) 322-3000

Reviews and Comments

Radiology Doctors in Nashville, TN

Dr. Paul Allen Rosenblatt, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 4220 Harding Road, Rudy Cancer Center, Nashville, TN 37205 Phone: 615-222-6755 Fax: 615-222-3567
Arthur Fleischer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000
Dr. Cari L Motuzas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1161 21st Ave S, Ccc-1121 Med Ctr N, Department Of Radiology, Nashville, TN 37232 Phone: 615-322-3780
John O Nunes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 25th Ave N Ste 1204, Nashville, TN 37203 Phone: 615-312-0600
Dr. Christopher C Ng, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 210 25th Ave N Ste 1204, Nashville, TN 37203 Phone: 615-312-0600
Jennifer Leslie Robinson Williams, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000
Dr. Robert J Stallworth, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 210 25th Ave N Ste 602, Nashville, TN 37203 Phone: 615-312-0600 Fax: 615-320-3259

Mark R Russell, MD - Medicare Radiology in Nashville, TN