| Mr Christopher James Russell, PA-C | |
|
2401 Plover Rd, Plover, WI 54467-3916 | |
| (715) 295-3800 | |
| Not Available |
| Full Name | Mr Christopher James Russell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 2401 Plover Rd, Plover, Wisconsin |
| 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 |
|---|---|---|---|
| 1326055708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1584023 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshfield Medical Center | Marshfield, WI | Hospital |
| Aspirus Langlade Hospital | Antigo, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mchs Hospitals Inc | 5698071173 | 1195 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831251040 PECOS PAC ID: 1557271202 Enrollment ID: O20040212000310 |
| Entity Name | Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1639187412 PECOS PAC ID: 1557271202 Enrollment ID: O20110126000993 |
| Entity Name | Emergency Physician Associates of Wisconsin SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396119426 PECOS PAC ID: 3577865690 Enrollment ID: O20160106002712 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christopher James Russell, PA-C 2401 Plover Rd, Plover, WI 54467-3916 Ph: (715) 295-3800 | Mr Christopher James Russell, PA-C 2401 Plover Rd, Plover, WI 54467-3916 Ph: (715) 295-3800 |