| Russell Todd Allen, DO | |
|
130 E Lockling St, Brookfield, MO 64628-2337 | |
| (660) 258-2222 | |
| Not Available |
| Full Name | Russell Todd Allen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 14 Years |
| Location | 130 E Lockling St, Brookfield, Missouri |
| 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 |
|---|---|---|---|
| 1194090357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2013041285 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phoenix Home Care | Independence, MO | Home health agency |
| North Kansas City Hospital | North kansas city, MO | Hospital |
| St Marys Medical Center | Blue springs, MO | Hospital |
| Lee's Summit Medical Center | Lees summit, MO | Hospital |
| Pershing Memorial Hospital | Brookfield, MO | Hospital |
| Harrison County Community Hospital | Bethany, MO | Hospital |
| Entity Name | Sound Physicians Emergency Medicine Of Kansas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831689934 PECOS PAC ID: 6800141672 Enrollment ID: O20180619001843 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Todd Allen, DO 5207 Sw Raintree Pkwy, Lees Summit, MO 64082-4529 Ph: (785) 477-8507 | Russell Todd Allen, DO 130 E Lockling St, Brookfield, MO 64628-2337 Ph: (660) 258-2222 |
Dr. Jerry L Wait, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 E Lockling St, Brookfield, MO 64628 Phone: 660-258-1050 Fax: 660-258-1048 |