| Russell D Albert, MD | |
|
1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 | |
| (608) 364-2200 | |
| (608) 364-2489 |
| Full Name | Russell D Albert |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1905 E. Huebbe Parkway, Beloit, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811906738 | NPI | - | NPPES |
| 1811906738 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 36273020 (Wisconsin) | Primary |
| 207V00000X | Obstetrics & Gynecology | 036-073288 (Illinois) | Secondary |
| Entity Name | Beloit Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841485984 PECOS PAC ID: 8224947858 Enrollment ID: O20080204000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell D Albert, MD 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 Ph: (608) 364-2200 | Russell D Albert, MD 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 Ph: (608) 364-2200 |
Dr. Elana Fran Wistrom, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2825 Prairie Ave, Beloit, WI 53511 Phone: 608-363-5500 Fax: 608-363-5539 | |
Prashanti Pilla, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 74 Eclipse Ctr, Beloit, WI 53511 Phone: 608-361-0311 | |
Dr. Robert R Harris, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Beloit Clinic, 1905 E Huebbe Parkway, Beloit, WI 53511 Phone: 608-364-2220 Fax: 608-363-7306 | |
Jamie Turner-rose, CNM Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 224-245-3690 | |
Kerilynn Loftus, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511 Phone: 608-364-2200 Fax: 608-364-1622 | |
Dr. Glenn Anthony Tan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511 Phone: 608-364-2220 Fax: 608-364-2489 |