| Elizabeth Diane Russell, PT | |
|
5407 Union Sq, Benton, AR 72019-6898 | |
| (205) 394-0120 | |
| Not Available |
| Full Name | Elizabeth Diane Russell |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 18 Years |
| Location | 5407 Union Sq, Benton, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609994813 | NPI | - | NPPES |
| 184220721 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3111 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Memorial Medical Group, Inc. | 5193610228 | 468 |
| Provider Name | Baptist Memorial Medical Group, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20040218000385 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Diane Russell, PT 5407 Union Sq, Benton, AR 72019-6898 Ph: (205) 394-0120 | Elizabeth Diane Russell, PT 5407 Union Sq, Benton, AR 72019-6898 Ph: (205) 394-0120 |
Derick Ray Hampel, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Mcneil St, Benton, AR 72015 Phone: 501-315-0984 | |
Erin Elizabeth Andrews, MS, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5701 Springhill Road, Benton, AR 72015 Phone: 501-653-2255 Fax: 501-653-2257 | |
William Anthony Taylor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1214 Salem Road, Suite A, Benton, AR 72019 Phone: 501-915-4354 | |
Ms. Kathyrn Elaine Sandusky, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17706 I-30, Ste 3, Benton, AR 72015 Phone: 501-315-4414 Fax: 501-315-3467 | |
Mr. Richard Dale Stevens, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2010 Active Way, Benton, AR 72019 Phone: 501-315-0984 | |
Marla Jo Murphy, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2113 Watts Rd, Benton, AR 72015 Phone: 501-778-4960 Fax: 501-778-4968 | |
Mrs. Carrie Anne Johnson, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1102 W South St, Suite 10, Benton, AR 72015 Phone: 559-202-9637 |