| Reannon Russell, DPT | |
|
295 Jumbo Rd, Melbourne, AR 72556-9175 | |
| (870) 373-0532 | |
| (870) 895-2626 |
| Full Name | Reannon Russell |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 14 Years |
| Location | 295 Jumbo Rd, Melbourne, 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 |
|---|---|---|---|
| 1053669721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3513 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gross Therapy Services Inc | 5991072050 | 44 |
| Provider Name | Mcbryde Therapy Ops Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841324209 PECOS PAC ID: 5395067235 Enrollment ID: O20141204001424 |
| Provider Name | Gross Therapy Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033236468 PECOS PAC ID: 5991072050 Enrollment ID: O20170522002316 |
| Mailing Address | Practice Location Address |
|---|---|
| Reannon Russell, DPT 295 Jumbo Rd, Melbourne, AR 72556-9175 Ph: (870) 373-0532 | Reannon Russell, DPT 295 Jumbo Rd, Melbourne, AR 72556-9175 Ph: (870) 373-0532 |
Mrs. Sharyn Irene Moxley, MS,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1013 Haley Street, Melbourne, AR 72556 Phone: 870-368-7955 Fax: 870-368-4920 | |
Ryan Hunter Daniels, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 790 E Main St, Melbourne, AR 72556 Phone: 870-368-0711 Fax: 870-368-0117 | |
Performa Rehab Services, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 638 E Main St., Melbourne, AR 72556 Phone: 901-800-8512 |