| Mr Jonathan Forrest Russell, PA | |
|
671 Sw Main St, Winston, OR 97496-6571 | |
| (541) 492-4550 | |
| (541) 679-2005 |
| Full Name | Mr Jonathan Forrest Russell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 671 Sw Main St, Winston, Oregon |
| 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 |
|---|---|---|---|
| 1396934196 | NPI | - | NPPES |
| ZFQ31815 | Other | MEDICARE | |
| 03-1820 | Other | MEDICARE | |
| ZFQ31820 | Other | MEDICARE | |
| Z139132 | Other | MEDICARE | |
| 03-1815 | Other | MEDICARE | |
| 364775 | Medicaid | AZ | |
| Z132429 | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 161337 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Center | Roseburg, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adapt | 4587662887 | 35 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathan Forrest Russell, PA 671 Sw Main St, Winston, OR 97496-6571 Ph: (541) 492-4550 | Mr Jonathan Forrest Russell, PA 671 Sw Main St, Winston, OR 97496-6571 Ph: (541) 492-4550 |
Orlando Antonio Morales Guerra, CSFA,CSA,CST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 615 Se Parkway Dr, Winston, OR 97496 Phone: 541-941-2066 | |
Laecey Mae Foster, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 671 Sw Main St, Winston, OR 97496 Phone: 541-492-4550 |