Phillip G Russell, MD in Stillwater, OK - Radiology

Phillip G Russell, MD is a Radiology - Diagnostic Radiology physician based in Stillwater, Oklahoma. Phillip G Russell is licensed to practice in Oklahoma (license number 12288) and his current practice location is 4721 W 6th Ave Ste 130, Stillwater, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (405) 743-0550.

NPI number for Phillip G Russell is 1659353480 and his current mailing address is 4721 W 6th Ave Ste 130, Stillwater, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659353480.

Contact Information

	Phillip G Russell, MD
	4721 W 6th Ave Ste 130, Stillwater, OK 74074-1549
	(405) 743-0550
	Not Available

Physician's Profile

Full Name	Phillip G Russell
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	4721 W 6th Ave Ste 130, Stillwater, Oklahoma
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1659353480
Provider Enumeration Date: 11/17/2005
Last Update Date: 08/25/2020

Medical Identifiers

Medical identifiers for Phillip G Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659353480	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	12288 (Oklahoma)	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. Phillip G Russell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Phillip G Russell, MD 4721 W 6th Ave Ste 130, Stillwater, OK 74074-1549 Ph: (405) 743-0550	Phillip G Russell, MD 4721 W 6th Ave Ste 130, Stillwater, OK 74074-1549 Ph: (405) 743-0550

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Radiology Doctors in Stillwater, OK

James A. Waltermire, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1301 W 6th Ave, Suite 202, Stillwater, OK 74074 Phone: 405-743-0550 Fax: 405-743-1704
Charles Raymond Horner Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4721 W 6th Ave Ste 130, Stillwater, OK 74074 Phone: 405-743-0550
James D Bullen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 816 S Walnut St, Stillwater, OK 74074 Phone: 405-743-0550 Fax: 405-743-1704
Dr. Brandon R Mason, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 4721 W 6th Ave Ste 130, Stillwater, OK 74074 Phone: 405-743-0550 Fax: 405-743-1704

Phillip G Russell, MD - Radiology in Stillwater, OK