| Russell Fullerton, MD | |
|
199 Reedsdale Rd, Milton, MA 02186-3926 | |
| (617) 696-4600 | |
| Not Available |
| Full Name | Russell Fullerton |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 10 Years |
| Location | 199 Reedsdale Rd, Milton, Massachusetts |
| 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 |
|---|---|---|---|
| 1255727228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 287107 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Hospital - Milton | Milton, MA | Hospital |
| Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
| South Shore Hospital | South weymouth, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is | 6305749987 | 495 |
| Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275574899 PECOS PAC ID: 4486567104 Enrollment ID: O20040323000584 |
| Entity Name | Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1245773308 PECOS PAC ID: 6305749987 Enrollment ID: O20170628003015 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Fullerton, MD 790 Boylston St Apt 6g, Boston, MA 02199-7905 Ph: (407) 446-1246 | Russell Fullerton, MD 199 Reedsdale Rd, Milton, MA 02186-3926 Ph: (617) 696-4600 |
Harold Longmaid, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 92 Highland Ave, Milton, MA 02186 Phone: 617-696-4600 | |
Robert Richter, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 92 Highland Ave, Milton, MA 02186 Phone: 617-696-4600 | |
Mark Lipsky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 92 Highland Ave, Milton, MA 02186 Phone: 607-696-4600 | |
Patricia Donahue, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 92 Highland Ave, Milton, MA 02186 Phone: 617-696-4600 | |
Dr. Richard E Whitehead, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 199 Reedsdale Road, Dept Of Diagnostic Imaging, Milton Hospital, Milton, MA 02186 Phone: 617-696-4600 Fax: 617-313-1526 |