| William M Russell, MD | |
|
5317 Atlantic Ave Ste 104, Delray Beach, FL 33484-8175 | |
| (561) 496-6000 | |
| Not Available |
| Full Name | William M Russell |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 5317 Atlantic Ave Ste 104, Delray Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720178445 | NPI | - | NPPES |
| 39949003 | Other | BCBS OF MD | |
| 369001600 | Medicaid | MD | |
| 0012 | Other | BCBS OF DC | |
| 0943ER-399490-05 | Other | CAREFIRST BCBS OF MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D30182 (Maryland) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | D0030182 (Maryland) | Primary |
| Entity Name | Conviva Medical Center Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
| Mailing Address | Practice Location Address |
|---|---|
| William M Russell, MD 5700 Lake Worth Rd Ste 204, Greenacres, FL 33463-3213 Ph: (561) 966-7707 | William M Russell, MD 5317 Atlantic Ave Ste 104, Delray Beach, FL 33484-8175 Ph: (561) 496-6000 |
Dr. Chelsea Chapkin Albanese, D.O. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 15340 S Jog Rd Ste 200, Delray Beach, FL 33446 Phone: 561-496-7200 | |
Dr. Alvin Gordon Beyerlein Jr., MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 15300 S Jog Rd Ste 205, Delray Beach, FL 33446 Phone: 561-496-7200 Fax: 561-496-7989 | |
Dr. Ahmet H Lavkan, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4662 Hammock Cir, Delray Beach, FL 33445 Phone: 561-254-6464 | |
Marlon Amos Labi, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 13593 Barcelona Lake Cir, Delray Beach, FL 33446 Phone: 954-849-4953 | |
John Receveur, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2932 Sw 22nd Cir Apt B, Delray Beach, FL 33445 Phone: 302-507-4975 | |
Rodolfo Reyes, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 N Congress Ave Ste 403, Delray Beach, FL 33445 Phone: 561-272-1618 Fax: 561-272-2880 | |
Marie Rubby Roger, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 13455 S Military Trl Ste A, Delray Beach, FL 33484 Phone: 561-288-6153 Fax: 561-288-6087 |