| Dr Russell Martin Carlson, DPM | |
|
520 Valley View Dr, Moline, IL 61265-6152 | |
| (309) 762-3621 | |
| (309) 762-3690 |
| Full Name | Dr Russell Martin Carlson |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 520 Valley View Dr, Moline, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023271137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 135000650 (Illinois) | Primary |
| Provider Name | Ora Orthopedics Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962481861 PECOS PAC ID: 6406741784 Enrollment ID: O20040407001036 |
| Provider Name | Preferred Podiatry Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720037138 PECOS PAC ID: 3971412677 Enrollment ID: O20040413000340 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Russell Martin Carlson, DPM 520 Valley View Dr, Moline, IL 61265-6152 Ph: (309) 762-3621 | Dr Russell Martin Carlson, DPM 520 Valley View Dr, Moline, IL 61265-6152 Ph: (309) 762-3621 |
Dr. Helena A Reid, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 840 35th Avenue Pl, Suite 102, Moline, IL 61265 Phone: 309-762-5200 Fax: 309-762-5636 | |
Kevin D Smith D P M P C Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 505 Valley View Dr Ste 1, Moline, IL 61265 Phone: 309-762-7919 Fax: 309-517-6483 | |
Dr. Christopher Collazo, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 520 Valley View Dr, Moline, IL 61265 Phone: 309-762-3621 | |
Foot First Podiatry Centers, V.p.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4350 7th St, Moline, IL 61265 Phone: 309-762-9242 | |
Dr. Anthony Chesser, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 520 Valley View Dr, Moline, IL 61265 Phone: 309-762-3621 | |
Dr. Brian Sheng Ting, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 840 35th Avenue Pl, Suite 102, Moline, IL 61265 Phone: 309-762-5200 Fax: 309-762-5636 |