DR. JOHN R. RUSSELL MD NPI 1952380651

Hospitalist in Lake Village, AR

NPI 1952380651 Individual Male Years of Experience 47 Hospitalist PECOS Enrolled Accepts Medicare Approved Payment

About JOHN RUSSELL

John Russell is a provider established in Lake Village, Arkansas and his medical specialization is hospitalist with more than 47 years of experience. He graduated from University Of Arkansas College Of Medicine in 1975. The NPI number of John Russell is 1952380651 and was assigned on January 2006. The practitioner's primary taxonomy code is 208M00000X with license number C4971 (AR). The provider is registered as an individual and his NPI record was last updated 6 years ago.

John Russell is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

John Russell is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Mcgehee Hospital and Drew Memorial Hospital.

NPI

1952380651

Provider NameDR. JOHN R. RUSSELL MD
Provider Location Address2918 LOUIS SESSIONS STREET LAKE VILLAGE, AR 71653
Provider Mailing Address2918 LOUIS SESSIONS STREET LAKE VILLAGE, AR 71653
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year1975
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-11-2006
Last Update Date01-20-2016


Primary Taxonomy

Taxonomy Code208M00000X
ClassificationHospitalist
TypeAllopathic & Osteopathic Physicians
License No.C4971
License StateAR
Taxonomy DescriptionHospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Business Address

DR. JOHN R. RUSSELL MD
2918 LOUIS SESSIONS STREET
LAKE VILLAGE, AR
ZIP 71653
Phone: (870) 265-5343
Fax: (870) 265-5686

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Mailing Address

DR. JOHN R. RUSSELL MD
2918 LOUIS SESSIONS STREET
LAKE VILLAGE, AR
ZIP 71653
Phone: (870) 265-5343
Fax: (870) 265-5686



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID8022086404
PECOS Enrollment IDI20100708000709
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Russell is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MCGEHEE HOSPITAL900 SOUTH THIRD STREET
MCGEHEE, AR 71654
(870) 222-5600Critical Access Hospitals41308
DREW MEMORIAL HOSPITAL778 SCOGIN DRIVE
MONTICELLO, AR 71655
(870) 367-2411Acute Care Hospitals40051

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineC4971ARNo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
54628MEDICARE PIN (08)AR
C68693MEDICARE UPIN (02)AR
101410001MEDICAID (05)AR

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053390781DR. JAMES C WRIGHT DO
Individual
Family Medicine2918 LOUIS SESSIONS STREET
LAKE VILLAGE, AR 71653
(870) 265-5343
1851370753DR. JOHN P. BURGE MD
Individual
Surgery2918 LOUIS SESSIONS STREET
LAKE VILLAGE, AR 71653
(870) 265-5343

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.