| Russell Gilbertson, MD | |
|
3700 South St, Lakewood, CA 90712-1419 | |
| (562) 407-2080 | |
| Not Available |
| Full Name | Russell Gilbertson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 3700 South St, Lakewood, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326077033 | NPI | - | NPPES |
| G47691 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | G47691 (California) | Primary |
| Entity Name | Russell M Gilbertson Md A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942377189 PECOS PAC ID: 8426152067 Enrollment ID: O20070409000423 |
| Entity Name | Precision Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205253929 PECOS PAC ID: 6204145105 Enrollment ID: O20151015001459 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Gilbertson, MD Po Box 4259, Cerritos, CA 90703-4259 Ph: (562) 407-2080 | Russell Gilbertson, MD 3700 South St, Lakewood, CA 90712-1419 Ph: (562) 407-2080 |
Dr. Thomas P Collopy, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3400 E South St, Lakewood, CA 90805 Phone: 562-531-2550 | |
Dr. Kirankumar Vyas, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3300 E South St Ste 107, Lakewood, CA 90805 Phone: 562-531-2020 Fax: 562-407-2082 |