| Tiffany Russ, DO | |
| 950 Harry S Truman Dr N, Suite 140, Largo, MD 20707 | |
| (855) 527-7246 | |
| (866) 229-5063 | 
| Full Name | Tiffany Russ | 
|---|---|
| Gender | Female | 
| Speciality | Anesthesiology - Pain Medicine | 
| Location | 950 Harry S Truman Dr N, Largo, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255893731 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 20A21027 (California) | Secondary | 
| 207LP2900X | Anesthesiology - Pain Medicine | 20A21027 (California) | Primary | 
| Entity Name | Advanced Pain Management Specialists Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861418220 PECOS PAC ID: 3173513959 Enrollment ID: O20050127000232 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tiffany Russ, DO 201 Defense Hwy Ste 205, Annapolis, MD 21401-7096 Ph: (855) 527-7246 | Tiffany Russ, DO 950 Harry S Truman Dr N, Suite 140, Largo, MD 20707 Ph: (855) 527-7246 | 
| Dr. Oluwafunke 0 Ives, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Largo, MD 20774 Phone: 202-507-0511 | |
| Dr. James Eugene Mitchell Iv, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Harry S Truman Dr, Largo, MD 20774 Phone: 240-677-1000 | |
| Dr. April A Mciver, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 | |
| Dr. Anquenetta Latosha Douglas, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Largo, MD 20774 Phone: 301-618-5936 |