| Mr Joshua Daniel Russ, PA-C | |
|
3623 Latrobe Dr, Suite 216, Charlotte, NC 28211-4864 | |
| (704) 332-1291 | |
| (704) 332-5206 |
| Full Name | Mr Joshua Daniel Russ |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 3623 Latrobe Dr, Charlotte, North Carolina |
| 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 |
|---|---|---|---|
| 1184961633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iredell Physician Network Llc | 0749345007 | 91 |
| Atrium Health North Market Network Llc | 1557743440 | 158 |
| Carolinas Physicians Network Inc | 3375449655 | 2324 |
| Entity Name | Carolinas Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
| Entity Name | Iredell Physician Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811381593 PECOS PAC ID: 0749345007 Enrollment ID: O20090219000651 |
| Entity Name | Afc Urgent Care and Family Care of Wnc PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679066658 PECOS PAC ID: 2567713332 Enrollment ID: O20180919000143 |
| Entity Name | Wake Forest Emergency Providers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396216735 PECOS PAC ID: 7012819816 Enrollment ID: O20190312003619 |
| Entity Name | Atrium Health North Market Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871112920 PECOS PAC ID: 1557743440 Enrollment ID: O20220809003741 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Joshua Daniel Russ, PA-C Po Box 221249, Charlotte, NC 28222-1249 Ph: (704) 332-1291 | Mr Joshua Daniel Russ, PA-C 3623 Latrobe Dr, Suite 216, Charlotte, NC 28211-4864 Ph: (704) 332-1291 |
Olga Maria Kramer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3101 Latrobe Dr, Charlotte, NC 28211 Phone: 704-376-7362 Fax: 704-376-1939 |
Mrs. Christine Mccree Patrocinio Massinga, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3250 Wilkinson Blvd, Charlotte, NC 28208 Phone: 704-319-5176 Fax: 980-819-7900 |
Shelda Amilcka, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd Ste 300, Charlotte, NC 28207 Phone: 704-384-6225 Fax: 704-316-3825 |
Ms. Mariah Leigh Rodriguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11840 Southmore Dr Ste 100, Charlotte, NC 28277 Phone: 980-308-0169 Fax: 980-308-0173 |
Lauren Michelle Ramsey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 4300, Charlotte, NC 28204 Phone: 704-373-0212 |
Emily Batchelor Culley, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 125 Queens Rd Ste 200, Charlotte, NC 28204 Phone: 704-343-9800 Fax: 704-347-2011 |
Amy Suzanne Buery, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 7903 Providence Rd Ste 100, Charlotte, NC 28277 Phone: 704-316-4460 Fax: 704-316-4466 |