| Parker Trent Russell, MD | |
|
54 Hospital Dr, Osage Beach, MO 65065-3050 | |
| (573) 302-2287 | |
| (573) 302-2241 |
| Full Name | Parker Trent Russell |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 54 Hospital Dr, Osage Beach, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770100026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2024027874 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 2024027874 (Missouri) | Primary |
| Entity Name | Lake Regional Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Parker Trent Russell, MD 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 348-8000 | Parker Trent Russell, MD 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 302-2287 |
James V Vest, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 54 Hospital Dr, Suite 205, Osage Beach, MO 65065 Phone: 573-302-3199 Fax: 573-302-3198 | |
Mohammad Zubair Malik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8000 | |
Dr. Wendy G Schmitz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-2287 Fax: 573-302-2241 | |
Dr. Kevin Gerard Byrne, D.O. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1029 Nichols Rd Ste 201, Osage Beach, MO 65065 Phone: 573-302-7138 Fax: 573-302-7123 | |
Rachandeep Singh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Suite 225, Osage Beach, MO 65065 Phone: 573-302-2762 Fax: 573-302-2268 | |
Oluwakunle Olalekan Oluwatosin, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-4406 Fax: 573-302-4408 | |
Dr. Miriam B. Borden, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1075 Nichols Rd, Osage Beach, MO 65065 Phone: 573-302-2828 Fax: 573-302-2830 |