David R Russell Od in Evanston, WY - Medicare Optometrist Provider

David R Russell Od is a medicare enrolled "Optometrist" provider in Evanston, Wyoming. Their current practice location is 720 6th St, Evanston, Wyoming. You can reach out to their office (for appointments etc.) via phone at (307) 789-1500.

David R Russell Od is licensed to practice in Wyoming (license number 293T) and it also participates in the medicare program. David R Russell Od is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1700076643.

Contact Information

	David R Russell Od
	720 6th St, Evanston, WY 82930
	(307) 789-1500
	(307) 789-0077

Map and Direction

Healthcare Provider's Profile

Full Name	David R Russell Od
Type	Facility
Speciality	Optometrist
Location	720 6th St, Evanston, Wyoming
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700076643
Provider Enumeration Date: 07/26/2007
Last Update Date: 08/02/2018

Medicare PECOS Information:

PECOS PAC ID: 8123049897
Enrollment ID: O20051209000390

Medical Identifiers

Medical identifiers for David R Russell Od such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700076643	NPI	-	NPPES
121954500	Medicaid	WY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	293T (Wyoming)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. David R Russell Od acts as a billing entity for following providers:

Provider Name	David R Russell
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1992898894 PECOS PAC ID: 9830110501 Enrollment ID: I20051212000514

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David R Russell Od is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
David R Russell Od 916 Main St, Evanston, WY 82930-3441 Ph: (307) 789-1500	David R Russell Od 720 6th St, Evanston, WY 82930 Ph: (307) 789-1500

Reviews and Comments

Optometrist in Evanston, WY

Dr. William Bruce Bourland, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 701 Front St, Evanston, WY 82930 Phone: 307-789-8820 Fax: 307-789-8823
Paul Robert Barnard, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 916 Main St, Evanston, WY 82930 Phone: 307-789-1500 Fax: 307-789-0077
Uinta Eye And Vision Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 547 Cheyenne Dr, Evanston, WY 82930 Phone: 307-789-3937 Fax: 307-789-0797
Lamont Roberson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 125 N. 2nd Ave, Evanston, WY 82930 Phone: 307-789-9573
Dr. William F Atkinson, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 547 Cheyenne Dr, Evanston, WY 82930 Phone: 307-789-3937 Fax: 307-789-0797
William Bruce Bourland Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 701 Front St, Evanston, WY 82930 Phone: 307-789-8820

David R Russell Od - Medicare Optometrist in Evanston, WY