Jeffrey Dane Russell, PA-C
Jeffrey Dane Russell, PA-C is a Physician Assistant in Baltimore, Maryland. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 13
- Licensed in
- MD
- In the registry since
- 2013
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
900 Caton AveBaltimore, MD 21229-5201
Phone: (410) 368-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence C0005160 (MD) |
|---|
Record details
| NPI number | 1518394204 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | September 26, 2013 |
| Last updated in NPPES | September 26, 2013 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
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