Russell Petty, MD in Cando, ND - Family Medicine

Russell Petty, MD is a Family Medicine physician based in Cando, North Dakota. Russell Petty is licensed to practice in North Dakota (license number 3895) and his current practice location is Highway 281 North, Cando, North Dakota. He can be reached at his office (for appointments etc.) via phone at (701) 968-2541.

NPI number for Russell Petty is 1043245277 and his current mailing address is Po Box 688, Cando, North Dakota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043245277.

Contact Information

	Russell Petty, MD
	Highway 281 North, Cando, ND 58324-0688
	(701) 968-2541
	(701) 968-2574

Physician's Profile

Full Name	Russell Petty
Gender	Male
Speciality	Family Medicine
Location	Highway 281 North, Cando, North Dakota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1043245277
Provider Enumeration Date: 07/12/2006
Last Update Date: 07/09/2007

Medical Identifiers

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

Identifier	Type	State	Issuer
1043245277	NPI	-	NPPES
12622	Medicaid	ND
21510	Other	ND	BCBS PROVIDER #
24029	Other	ND	BCBS PROVIDER #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	3895 (North Dakota)	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. Russell Petty 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
Russell Petty, MD Po Box 688, Cando, ND 58324-0688 Ph: (701) 968-2541	Russell Petty, MD Highway 281 North, Cando, ND 58324-0688 Ph: (701) 968-2541

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Family Medicine Doctors in Cando, ND

Robert Hamilton, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Hwy 281n, Cando, ND 58324
Phone: 701-968-2541 Fax: 701-968-2574

Russell Petty, MD - Family Medicine in Cando, ND