| Russell Gerald Gelormini, DO | |
|
27817 Legacy Woods, Boerne, TX 78015-4995 | |
| (952) 595-1100 | |
| (612) 294-4903 |
| Full Name | Russell Gerald Gelormini |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 42 Years |
| Location | 27817 Legacy Woods, Boerne, Texas |
| 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 |
|---|---|---|---|
| 1932194545 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Granbury Medical Center | Granbury, TX | Hospital |
| Tallahassee Memorial Healthcare | Tallahassee, FL | Hospital |
| El Centro Regional Medical Center | El centro, CA | Hospital |
| Muleshoe Area Medical Center | Muleshoe, TX | Hospital |
| Nacogdoches County Hospital District | Nacogdoches, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vpa Of Texas Pllc | 7618911660 | 68 |
| Radiology Regional Center P A | 9638151756 | 57 |
| Smi Imaging Llc | 3476696220 | 376 |
| Lifebrite Hospital Group Of Early Llc | 7810263589 | 8 |
| Tallahassee Memorial Healthcare Inc | 6103724778 | 490 |
| Vesta Telemedicine Solutions Pllc | 9638585706 | 40 |
| Franklin County Board Of County Commissioners | 3274541115 | 28 |
| Methodist-cdi | 3072836600 | 43 |
| Advanced Radiology And Interventional Associates Inc | 2163816448 | 95 |
| Lawrence County Memorial Hospital | 7517144249 | 33 |
| Advanced Radiology And Interventional Associates Inc | 2163816448 | 95 |
| Lenox Hill Radiology And Medical Imaging Associates Pc | 2264424712 | 243 |
| Vesta Telemedicine Solutions Pc | 2365850948 | 32 |
| Tallahassee Memorial Healthcare Inc | 6103724778 | 490 |
| Howard John Simon Md Pc | 1658602263 | 37 |
| Health Diagnostics Of California A Professional Corporation | 4284621525 | 177 |
| Simonmed Imaging Florida Llc | 6608036108 | 290 |
| Entity Name | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083643738 PECOS PAC ID: 1759290901 Enrollment ID: O20031105000797 |
| Entity Name | Fisher County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104808112 PECOS PAC ID: 2163311465 Enrollment ID: O20040315000096 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385 |
| Entity Name | Dallas County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831198506 PECOS PAC ID: 8325934813 Enrollment ID: O20040315000583 |
| Entity Name | Vpa Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20081103000272 |
| Entity Name | Rfc Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437478302 PECOS PAC ID: 8022141894 Enrollment ID: O20100730000058 |
| Entity Name | Titus County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063548881 PECOS PAC ID: 0143203257 Enrollment ID: O20120525000534 |
| Entity Name | Rapid Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619300431 PECOS PAC ID: 2062734858 Enrollment ID: O20141205000964 |
| Entity Name | Methodist-cdi |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164829214 PECOS PAC ID: 3072836600 Enrollment ID: O20150106001211 |
| Entity Name | Simonmed Imaging Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477830818 PECOS PAC ID: 6608036108 Enrollment ID: O20160713001105 |
| Entity Name | Smi Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20181008001228 |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20190717002243 |
| Entity Name | Health Diagnostics Of California A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104321959 PECOS PAC ID: 4284621525 Enrollment ID: O20200124001248 |
| Entity Name | Howard John Simon Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932768934 PECOS PAC ID: 1658602263 Enrollment ID: O20200309000742 |
| Entity Name | Howard Simon Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659930998 PECOS PAC ID: 7214369966 Enrollment ID: O20200309002036 |
| Entity Name | Vesta Telemedicine Solutions Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952902116 PECOS PAC ID: 9638585706 Enrollment ID: O20210316000476 |
| Entity Name | Lenox Hill Radiology & Medical Imaging Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821036807 PECOS PAC ID: 2264424712 Enrollment ID: O20210728000257 |
| Entity Name | Advanced Radiology And Interventional Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669123626 PECOS PAC ID: 2163816448 Enrollment ID: O20220808000597 |
| Entity Name | Vesta Telemedicine Solutions Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710571153 PECOS PAC ID: 2365850948 Enrollment ID: O20230413001871 |
| Entity Name | Columbus Diagnostic Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316108624 PECOS PAC ID: 3375455884 Enrollment ID: O20231019002674 |
| Entity Name | Santa Rosa Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730969502 PECOS PAC ID: 4284089335 Enrollment ID: O20231228000672 |
| Entity Name | Simonmed Reno Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306576145 PECOS PAC ID: 5991140360 Enrollment ID: O20240515002067 |
| Entity Name | Hudson Valley Radiology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174574115 PECOS PAC ID: 4486567690 Enrollment ID: O20241203002511 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Gerald Gelormini, DO 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Russell Gerald Gelormini, DO 27817 Legacy Woods, Boerne, TX 78015-4995 Ph: (952) 595-1100 |
Dr. Jennifer Anne Theoharis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9002 Highlands Cv, Boerne, TX 78006 Phone: 952-595-1100 Fax: 612-294-4903 |