| Russell Daugherty, MD | |
|
1300 N Main St, Rushville, IN 46173-1198 | |
| (765) 932-7439 | |
| (765) 932-7410 |
| Full Name | Russell Daugherty |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 1300 N Main St, Rushville, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275522039 | NPI | - | NPPES |
| 000000599467 | Other | IN | ANTHEM BCBS |
| 200001980 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01042648A (Indiana) | Secondary |
| 208000000X | Pediatrics | 01042648A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 01042648A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rush Memorial Hospital | Rushville, IN | Hospital |
| Flatrock River Lodge | Rushville, IN | Nursing home |
| Miller's Merry Manor | Rushville, IN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rush Memorial Hospital | 7012802754 | 56 |
| Entity Name | Rush Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497726020 PECOS PAC ID: 7012802754 Enrollment ID: O20040220000164 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Daugherty, MD 1300 N Main St, Rushville, IN 46173-1198 Ph: (765) 932-4111 | Russell Daugherty, MD 1300 N Main St, Rushville, IN 46173-1198 Ph: (765) 932-7439 |
Brian C Ruley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Conrad Harcourt Way, Rushville, IN 46173 Phone: 765-932-7591 Fax: 765-932-7576 |