Robert L Russell (NPI# 1528151610, PAC ID# 9335217348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1528151610 |
| PAC ID by PECOS | 9335217348 |
| Professional Enrollment ID | I20081003000666 |
| Full Name | Robert L Russell |
| Organization Legal Name | MEA PRIMARY CARE PLUS, LLC |
| Address |
1515 Jefferson St Laurel MS 39440-4244 |
| Phone Number | 6014254893 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0941583728 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1515 Jefferson St, Laurel, MS 39440-4244 | 6014254893 | MEA PRIMARY CARE PLUS, LLC |
| Organization Legal Name | MEA PRIMARY CARE PLUS, LLC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Moumita Do Biswas | Family Medicine | Mea Primary Care Plus, LLC | 106 Lake Vista Pl, Brandon, MS 39047-6384 |
| Heather Haynes Walker | Nurse Practitioner | Mea Primary Care Plus, LLC | 323 Hwy 51, Ridgeland, MS 39157-3428 |
| Brennan F Vaughn | Physician Assistant | Mea Primary Care Plus, LLC | 4204 Clay St, Vicksburg, MS 39183-3438 |
| Bethany Sumerford | Nurse Practitioner | Mea Primary Care Plus, LLC | 498 Hwy 80 E, Mea Primary Care Plu, Clinton, MS 39056-4720 |
| Tyler Ladner | Physician Assistant | Mea Primary Care Plus, LLC | 112 Southlake Cir, Canton, MS 39046-5368 |
| Michael L Brasel | Physician Assistant | Mea Primary Care Plus, LLC | 935 Hwy 51, Madison, MS 39110-8407 |
| Patrise Bennett | Family Medicine | Mea Primary Care Plus, LLC | 1777 Ellis Ave, Jackson, MS 39204-3616 |
| Diana Lynn Entrekin | Family Medicine | Mea Primary Care Plus, LLC | 5606 Old Canton Rd, Jackson, MS 39211-4217 |
| John Brooks | Emergency Medicine | Mea Primary Care Plus, LLC | 342 Gilchrist Dr, Pearl, MS 39208-6671 |
| Carole Lynne Singleton | Nurse Practitioner | Mea Primary Care Plus, LLC | 307 E Fifteenth St, Yazoo City, MS 39194-2631 |
| Street Address |
1515 JEFFERSON ST |
| City | LAUREL |
| State | MS |
| Zip | 39440-4244 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan A Williamson | Family Practice | Mea Primary Care Plus, LLC | 1515 Jefferson St, Laurel, MS 39440-4244 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amandeep Singh | Psychiatry | South Central Clinics, Inc | 5 Dunnbarr, Suite 1, Laurel, MS 39440-1041 |
| Franklin Golden | Nurse Practitioner | South Central Clinics, Inc | 5 Dunnbarr, Suite 1, Laurel, MS 39440-1041 |
| Joseph P Cooley | Physical Therapy | Gptrs II | 1707 W 20th St, Laurel, MS 39440-1802 |
| Catharine B Reich | Physical Therapy | Gptrs II | 1707 W 20th St, Laurel, MS 39440-1802 |
| Jason M Beddingfield | Optometry | 1620 Hwy 15 N, Suite A1, Laurel, MS 39440-1892 | |
| Sheila D Bradford | Nurse Practitioner | North Laurel Family Medicine LLC | 3115 Audubon Dr, Laurel, MS 39440-1913 |
| Jeffrey R Moffett | Nurse Practitioner | North Laurel Family Medicine LLC | 3115 Audubon Dr, Laurel, MS 39440-1913 |
| Matthew B Jones | Family Medicine | Jones Family Medicine Clinic Pllc | 30 Circle J Dr, Suite 1, Laurel, MS 39440-1981 |
| Donald Ray Welch | Nurse Practitioner | Jones Family Medicine Clinic Pllc | 30 Circle J Dr, Suite 1, Laurel, MS 39440-1981 |
| Thomas Neil Hudson | Nurse Practitioner | Jones Family Medicine Clinic Pllc | 30 Circle J Dr, Suite 1, Laurel, MS 39440-1981 |
| Find all physicians in zip 39440 | |||
| City | LAUREL |
| Zip Code | 39440 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAUREL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert L 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.