Dr John Kenneth Russell, PHD in Long Beach, CA

Dr John Kenneth Russell, PHD is a medicare enrolled "Psychologist - Clinical" provider in Long Beach, California. His current practice location is 1945 Palo Verde Ave, Suite 202, Long Beach, California. You can reach out to his office (for appointments etc.) via phone at (562) 799-3333.

Dr John Kenneth Russell is licensed to practice in California (license number PSY4430) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407843295.

Contact Information

	Dr John Kenneth Russell, PHD
	1945 Palo Verde Ave, Suite 202, Long Beach, CA 90815-3443
	(562) 799-3333
	(562) 799-3355

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Kenneth Russell
Gender	Male
Speciality
Experience	Years
Location	1945 Palo Verde Ave, Long Beach, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr John Kenneth Russell attended and graduated from in

NPI Data:

NPI Number: 1407843295
Provider Enumeration Date: 10/05/2005
Last Update Date: 04/17/2014

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr John Kenneth Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407843295	NPI	-	NPPES
95-3278711	Other	CA	FEDERAL TAX ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY4430 (California)	Primary

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. Dr John Kenneth Russell 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
Dr John Kenneth Russell, PHD 1945 Palo Verde Ave, Suite 202, Long Beach, CA 90815-3443 Ph: (562) 799-3333	Dr John Kenneth Russell, PHD 1945 Palo Verde Ave, Suite 202, Long Beach, CA 90815-3443 Ph: (562) 799-3333

Reviews and Comments

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Dr John Kenneth Russell, PHD - Medicare Psychologist in Long Beach, CA