Dr Russel B Coutinho, MD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Terre Haute, Indiana. His current practice location is
3901 S 7th St, Terre Haute, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 232-0021.
Dr Russel B Coutinho is licensed to practice in Indiana (license number 01060691A) 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 1356421440.
Physician's Profile
| Full Name | Dr Russel B Coutinho |
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| Gender | Male |
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| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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| Location | 3901 S 7th St, Terre Haute, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356421440
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 01/30/2026
Medicare PECOS Information:
- PECOS PAC ID: 9436469483
- Enrollment ID: I20151104000972
Medical Identifiers
Medical identifiers for Dr Russel B Coutinho such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356421440 | NPI | - | NPPES |
| 000000475086 | Other | | ANTHEM BCBS |
| 200525370A | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01060691A (Indiana) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01060691A (Indiana) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 01060691A (Indiana) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | 01060691A (Indiana) | Secondary |
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. Dr Russel B Coutinho allows following entities to bill medicare on his behalf.
| Entity Name | Community Physicians Of Indiana Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619105244
PECOS PAC ID: 1759416662
Enrollment ID: O20100317000717 |
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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. Dr Russel B Coutinho 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 |
|---|
Dr Russel B Coutinho, MD
Po Box 6157,
Terre Haute, IN 47802-6157
Ph: (812) 234-0979 | Dr Russel B Coutinho, MD
3901 S 7th St,
Terre Haute, IN 47802-5709
Ph: (812) 232-0021 |
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