| Russell E Swann, MD | |
|
201 Londonderry Dr, Waco, TX 76712-7902 | |
| (254) 772-4499 | |
| (254) 772-4436 |
| Full Name | Russell E Swann |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 201 Londonderry Dr, Waco, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841293016 | NPI | - | NPPES |
| 110143801 | Medicaid | TX | |
| 742336149 | Other | TX | TAX ID |
| DC9834 | Other | TX | RR MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | E5626 (Texas) | Primary |
| Entity Name | Russell E Swann M.d. Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285816850 PECOS PAC ID: 8729025424 Enrollment ID: O20050414000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell E Swann, MD 201 Londonderry Dr, Waco, TX 76712-7902 Ph: (254) 772-4499 | Russell E Swann, MD 201 Londonderry Dr, Waco, TX 76712-7902 Ph: (254) 772-4499 |
Matthew Gillings, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2400 Ambassador Dr, Waco, TX 76712 Phone: 254-756-4457 Fax: 254-756-1718 | |
Dr. Marvin Charles Schlecte Jr., M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2400 Ambassador Dr, Waco, TX 76712 Phone: 254-756-4457 Fax: 254-756-1718 | |
Herman John Quinius Iii, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2400 Ambassador Dr, Waco, TX 76712 Phone: 254-756-4457 Fax: 254-756-1718 | |
Dr. Ivan G Castillo-salazar, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7030 New Sanger Rd Ste 102, Waco, TX 76712 Phone: 254-753-7007 Fax: 254-753-5225 | |
Dr. James V. Campbell, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 7030 New Sanger Rd, Suite 102, Waco, TX 76712 Phone: 254-753-7007 | |
Forrest Beau Swann, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 201 Londonderry Dr, Waco, TX 76712 Phone: 254-772-4499 Fax: 254-772-4436 | |
Dr. Richard W. Allinson, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 7700 Fish Pond Rd, Waco, TX 76710 Phone: 254-741-4444 |