Telly R Russell, MD in Maple Valley, WA - Medicare Family Practice

Telly R Russell, MD is a medicare enrolled "Family Medicine" physician in Maple Valley, Washington. He went to Georgetown University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Valley Medical Group-renton and his current practice location is 26458 Maple Valley Black Diamond Rd Se Ste A, Maple Valley, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 690-3465.

Telly R Russell is licensed to practice in Washington (license number MD60403590) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780978338.

Contact Information

	Telly R Russell, MD
	26458 Maple Valley Black Diamond Rd Se Ste A, Maple Valley, WA 98038-8350
	(425) 690-3465
	(425) 690-9460

Map and Direction

Physician's Profile

Full Name	Telly R Russell
Gender	Male
Speciality	Family Practice
Experience	13 Years
Location	26458 Maple Valley Black Diamond Rd Se Ste A, Maple Valley, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Telly R Russell attended and graduated from Georgetown University School Of Medicine in 2011

NPI Data:

NPI Number: 1780978338
Provider Enumeration Date: 05/31/2011
Last Update Date: 03/26/2020

Medicare PECOS Information:

PECOS PAC ID: 2163648635
Enrollment ID: I20140719000121

Medical Identifiers

Medical identifiers for Telly R Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780978338	NPI	-	NPPES
2020725	Medicaid	WA
G8930107	Other	WA	MEDICARE W VALLEY MEDICAL GROUP - RENTON

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	MD60403590 (Washington)	Secondary
207Q00000X	Family Medicine	MD60403590 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Valley Medical Center	Renton, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Valley Medical Group-renton	4183753965	408

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Telly R Russell allows following entities to bill medicare on his behalf.

Entity Name	Valley Medical Group-renton
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Telly R Russell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Telly R Russell, MD 3600 Lind Ave Sw, Suite 100 Attn Credentialing, Renton, WA 98057-4970 Ph: (425) 690-2715	Telly R Russell, MD 26458 Maple Valley Black Diamond Rd Se Ste A, Maple Valley, WA 98038-8350 Ph: (425) 690-3465

Reviews and Comments

Family Medicine Doctors in Maple Valley, WA

Dr. Shannon Lynn Markegard, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23846 Se Kent Kangley Rd, Maple Valley, WA 98038 Phone: 425-656-4100 Fax: 425-656-4109
Thomas Quoc Bao Nguyen, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23745 225th Way Se Ste 201, Maple Valley, WA 98038 Phone: 888-674-5871 Fax: 206-694-2291
Rebecca Brown Rush-peet, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 24080 Se Kent Kangley Rd, Maple Valley, WA 98038 Phone: 253-372-7680
Dr. Rodney Tyson Riedel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 26458 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038 Phone: 425-656-5577 Fax: 425-656-5595
Dr. Cynthia Louise Cote, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 27203-216th Ave Se, Ste A, Maple Valley, WA 98038 Phone: 425-413-8292 Fax: 425-413-8299
Chester Edmond Jangala, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 22443 Se 240th St Ste 203, Maple Valley, WA 98038 Phone: 425-432-9611 Fax: 206-973-5399
Lawrence J Madewell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 26458 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038 Phone: 425-656-5577 Fax: 425-656-5595

Telly R Russell, MD - Medicare Family Practice in Maple Valley, WA