| Mr Brent Charles Russell, PA-C | |
|
43145 Schoenherr Rd, Sterling Heights, MI 48313-1955 | |
| (589) 997-5048 | |
| (589) 997-5049 |
| Full Name | Mr Brent Charles Russell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 43145 Schoenherr Rd, Sterling Heights, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255412318 | NPI | - | NPPES |
| 55.000448 | Other | OH | CERTIFICATE TO PRESCRIBE |
| 5601002647 | Other | MI | PAIN MANAGEMENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601002647 (Michigan) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 50-00-0863 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brent Charles Russell, PA-C 12685 Highland Rd, Hartland, MI 48353-2933 Ph: (419) 865-4448 | Mr Brent Charles Russell, PA-C 43145 Schoenherr Rd, Sterling Heights, MI 48313-1955 Ph: (589) 997-5048 |
David Giancola Iii, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 2405 E 14 Mile Rd, Sterling Heights, MI 48310 Phone: 586-264-1800 Fax: 586-264-1155 | |
Stephanie Mary Salmo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 39242 Dequindre Rd Ste 101, Sterling Heights, MI 48310 Phone: 586-446-8060 Fax: 586-446-8062 | |
Brenna Camille Wyffels, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 35111 Dodge Park Rd, Sterling Heights, MI 48312 Phone: 586-978-8010 | |
Mr. Zachary Joseph Chirdon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 43455 Schoenherr Rd Ste 2, Sterling Heights, MI 48313 Phone: 586-726-4823 | |
Terenia A. Custer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14460 Lakeside Cir Ste 100, Sterling Heights, MI 48313 Phone: 586-685-3285 Fax: 586-685-3286 | |
Mrs. Farah S Alrais, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 43145 Schoenherr Rd, Suite 200, Sterling Heights, MI 48313 Phone: 586-997-5048 Fax: 586-997-5049 | |
Angela Kilp, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 44250 Dequindre Rd, Sterling Heights, MI 48314 Phone: 248-964-0400 Fax: 248-964-0401 |