| Kyle A Russell, PA-C | |
|
300 West Lemon Street, Lititz, PA 17543-7774 | |
| (717) 544-8696 | |
| (717) 544-8697 |
| Full Name | Kyle A Russell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 300 West Lemon Street, Lititz, Pennsylvania |
| 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 |
|---|---|---|---|
| 1164677969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA053822 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lancaster General Medical Group | 0941103683 | 590 |
| Entity Name | Lancaster General Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952392383 PECOS PAC ID: 0941103683 Enrollment ID: O20040309000916 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle A Russell, PA-C 300 West Lemon Street, Lititz, PA 17543-7774 Ph: (717) 544-8696 | Kyle A Russell, PA-C 300 West Lemon Street, Lititz, PA 17543-7774 Ph: (717) 544-8696 |
Carolyn S Esterly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6 W Newport Rd, Lititz, PA 17543 Phone: 717-627-2108 Fax: 717-627-2434 |
Stephen A Russo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 Highlands Dr, Lititz, PA 17543 Phone: 717-988-0000 Fax: 717-782-5716 |
Madeline Cingle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 51 Peters Road, Suite 101, Lititz, PA 17543 Phone: 814-360-0265 |
Martha Elizabeth Hostetler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2320 Rothsville Rd Ste 200, Lititz, PA 17543 Phone: 717-721-4800 Fax: 717-626-1613 |
Madison Lyn Carey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 240 N Cedar St, Lititz, PA 17543 Phone: 717-588-1190 |
Mr. Matthew Dirodio, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 Highlands Dr, Lititz, PA 17543 Phone: 717-625-5000 |
Heather A Conner-merz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 East Oregon Rroad, Neurology & Stroke Associates, Lititz, PA 17543 Phone: 717-569-8773 Fax: 717-569-8187 |