Beverly J Russell (NPI# 1568573947, PAC ID# 0345134391) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1568573947 |
| PAC ID by PECOS | 0345134391 |
| Professional Enrollment ID | I20040210001143 |
| Full Name | Beverly J Russell |
| Organization Legal Name | W A FOOTE MEMORIAL HOSPITAL INC |
| Address |
7845 Spring Arbor Rd Spring Arbor MI 49283-9785 |
| Phone Number | 5172052580 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0244136067 |
| Number of Group Practice Members | 414 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230075 | BRONSON BATTLE CREEK HOSPITAL |
| 230092 | HENRY FORD ALLEGIANCE HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 300 N Ave, Battle Creek, MI 49017-3307 | 8882580875 | BRONSON METHODIST HOSPITAL |
| 3770 Capital Sw Ave A, Battle Creek, MI 49015-9411 | 2694411771 | BRONSON METHODIST HOSPITAL |
| 601 John St, Kalamazoo, MI 49007-5377 | BRONSON METHODIST HOSPITAL | |
| 7845 Spring Arbor Rd, Spring Arbor, MI 49283-9785 | 5172052580 | W A FOOTE MEMORIAL HOSPITAL INC |
| Organization Legal Name | W A FOOTE MEMORIAL HOSPITAL INC |
| Physicians | 420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah A Cardenas | Nurse Practitioner | W A Foote Memorial Hospital Inc | 130 N Sherman St, Henry Ford Allegiance Family Medicine Leslie, Leslie, MI 49251-9409 |
| Elizabeth Ann Shea | Nurse Practitioner | W A Foote Memorial Hospital Inc | 12369 E Michigan Ave, Henry Ford Allegiance Family Medicine Grass Lake, Grass Lake, MI 49240-9213 |
| Hannah Rae Chase | Qualified Audiologist | W A Foote Memorial Hospital Inc | 1111 Teneyck St, Suite 200, Jackson, MI 49201-2486 |
| Deborah Ann Mroczka | Nurse Practitioner | W A Foote Memorial Hospital Inc | 27931 C Dr N, Henry Ford Allegiance Family Medicine Ablion, Albion, MI 49224-8402 |
| Michael Stephen Somero | Infectious Disease | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 240, Jackson, MI 49202-1432 |
| Maria C Opolka | Family Medicine | W A Foote Memorial Hospital Inc | 810 Hogsback Rd, Suite A, Mason, MI 48854-9396 |
| Kasey Lyn Gamez | Nurse Practitioner | W A Foote Memorial Hospital Inc | 400 Hinckley Blvd, Suite 100, Jackson, MI 49203-6152 |
| Joni Anne Frost | Nurse Practitioner | W A Foote Memorial Hospital Inc | 2585 Spring Arbor Rd, Jackson, MI 49203-3655 |
| Eduardo Montoya | Psychologist, Clinical | W A Foote Memorial Hospital Inc | 1400 E Michigan Ave, Henry Ford Allegiance Neuropsychology, Jackson, MI 49202-3518 |
| Kathleen Viola | Dermatology | W A Foote Memorial Hospital Inc | 1125 E Michigan Ave, Henry Ford Allegiance Surgery Center, Jackson, MI 49201-1801 |
| Street Address |
7845 SPRING ARBOR RD |
| City | SPRING ARBOR |
| State | MI |
| Zip | 49283-9785 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad K Case | Physician Assistant | W A Foote Memorial Hospital Inc | 7845 Spring Arbor Rd, Spring Arbor, MI 49283-9785 |
| Kristen M Sorrow | Nurse Practitioner | W A Foote Memorial Hospital Inc | 7845 Spring Arbor Rd, Spring Arbor, MI 49283-9785 |
| Lisa A Rudd | Nurse Practitioner | W A Foote Memorial Hospital Inc | 7845 Spring Arbor Rd, Spring Arbor, MI 49283-9785 |
| Amanda Chivu Brannick | Internal Medicine | W A Foote Memorial Hospital Inc | 7845 Spring Arbor Rd, Spring Arbor, MI 49283-9785 |
| Jennifer L Schmid | Nurse Practitioner | W A Foote Memorial Hospital Inc | 7845 Spring Arbor Rd, Spring Arbor, MI 49283-9785 |
| Taylor Dillon | Physician Assistant | W A Foote Memorial Hospital Inc | 7845 Spring Arbor Rd, Spring Arbor, MI 49283-9785 |
| Sabrina Panich | Nurse Practitioner | W A Foote Memorial Hospital Inc | 7845 Spring Arbor Rd, Spring Arbor, MI 49283-9785 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Kintigh | Chiropractic | 233 W Main St, Spring Arbor Chiropractic Clinic, Spring Arbor, MI 49283-0375 | |
| Shannon Marie Bielski | Chiropractic | 7851 Spring Arbor Rd, Spring Arbor, MI 49283-9503 | |
| Mitchell E Zigler | Physical Therapy | 106 E Main St, Spring Arbor, MI 49283-9701 |
| City | SPRING ARBOR |
| Zip Code | 49283 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SPRING ARBOR + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Beverly J Russell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.