WESLEY A. RUSSELL M.D. – NPI #1508029497
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

WESLEY RUSSELL is a radiologist located in FORT WAYNE, IN. NPPES has assigned the NPI number 1508029497 to WESLEY RUSSELL on July 09, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 8 years ago on Jun 15, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WESLEY RUSSELL below.

NPI Profile for
WESLEY A. RUSSELL

NPI Number
1508029497
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WESLEY A. RUSSELL
Credentials
M.D.
Primary location
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Phone: (260) 266-9100 Fax: (260) 266-9110
Mailing address
7910 W JEFFERSON BLVD
SUITE 110
FORT WAYNE, IN 46804-4159
Phone: (260) 436-4116 Fax: (260) 459-2504
Sole Proprietor
No
Updated
Identifiers

Identifiers for WESLEY RUSSELL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN201163340
MEDICAIDMI1508029497
MEDICAIDOH0083773
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)
IN 01072532A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE - Graduated 2008
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
WESLEY RUSSELL is affiliated with the following medical group(s):
  • HOSPITAL
    • CAMERON MEMORIAL COMMUNITY HOSPITAL INC
      416 E MAUMEE ST
      ANGOLA, IN 46703
    • PARKVIEW HUNTINGTON HOSPITAL
      2001 STULTS RD
      HUNTINGTON, IN 46750
    • PARKVIEW LAGRANGE HOSPITAL
      207 N TOWNLINE RD
      LAGRANGE, IN 46761
    • PARKVIEW NOBLE HOSPITAL
      401 SAWYER RD
      KENDALLVILLE, IN 46755
    • PARKVIEW REGIONAL MEDICAL CENTER
      11109 PARKVIEW PLAZA DRIVE
      FORT WAYNE, IN 46845

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