Danielle R Russo (NPI# 1346249364, PAC ID# 3779628532) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1346249364 |
| PAC ID by PECOS | 3779628532 |
| Professional Enrollment ID | I20100304000058 |
| Full Name | Danielle R Russo |
| Organization Legal Name | BEACON MEDICAL GROUP INC |
| Address |
3301 County Rd 6 Med Point Urgent Care At Cr 6 Elkhart IN 46514-7673 |
| Phone Number | 5742665342 |
| Gender | F |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1254243306 |
| Number of Group Practice Members | 331 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150018 | ELKHART GENERAL HOSPITAL |
| 150026 | GOSHEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3301 County Rd 6, Med Point Urgent Care At Cr 6, Elkhart, IN 46514-7673 | 5742665342 | BEACON MEDICAL GROUP INC |
| 207 N Elkhart St, Beacon Medical Group Wakarusa, Wakarusa, IN 46573-9729 | 5748622165 | BEACON MEDICAL GROUP INC |
| Organization Legal Name | BEACON MEDICAL GROUP INC |
| Physicians | 364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nizar Fayez Olabi | Obstetrics/gynecology | Beacon Medical Group Inc | 1215 Lawn Ave, Suite 100, Elkhart, IN 46514-2450 |
| Mayank K Mittal | Interventional Cardiology | Beacon Medical Group Inc | 610 N Michigan St, 400 Bmg Adv Cardiology Specialists, South Bend, IN 46601-1081 |
| John A Whitney | Family Medicine | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Nicholas H Kerr | Hospice/palliative Care | Beacon Medical Group Inc | 1753 Fulton St, Elkhart, IN 46514-1927 |
| Amanda L Springer | Family Medicine | Beacon Medical Group Inc | 1815 E Ireland Rd, Beacon Medical Group Ireland Rd, South Bend, IN 46614-2845 |
| Oluyinka G Osunnuga | Nurse Practitioner | Beacon Medical Group Inc | 5314 Lincolnway E, Bmg Specialties Mishawaka, Mishawaka, IN 46544-4249 |
| Lana L Evans | Nurse Practitioner | Beacon Medical Group Inc | 207 N Elkhart St, Beacon Medical Group Wakarusa, Wakarusa, IN 46573-9729 |
| Lindsey Danielle Lira | Family Medicine | Beacon Medical Group Inc | 27082 Main St, Edwardsburg, MI 49112-9334 |
| Mercedes D Moran | Certified Nurse Midwife | Beacon Medical Group Inc | 813 S Michigan St, Memorial Neighborhood Health Center, South Bend, IN 46601-3102 |
| Beth A Hayden | Nurse Practitioner | Beacon Medical Group Inc | 900 I St, La Porte, IN 46350-5533 |
| Street Address |
3301 COUNTY RD 6 MED POINT URGENT CARE AT CR 6 |
| City | ELKHART |
| State | IN |
| Zip | 46514-7673 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Matthew Dyck | Family Medicine | Beacon Medical Group Inc | 3301 County Rd 6, Beacon Medical Group Sleep Medicine, Elkhart, IN 46514-7673 |
| Carrie J Daniels | Nurse Practitioner | Beacon Medical Group Inc | 3301 County Rd 6, Beacon Medical Group Sleep Medicine, Elkhart, IN 46514-7673 |
| Rose E Paul | Family Medicine | Beacon Medical Group Inc | 3301 County Rd 6, Med Point Urgent Care At Cr 6, Elkhart, IN 46514-7673 |
| Saadia Qasim | Family Medicine | Beacon Medical Group Inc | 3301 County Rd 6, Beacon Medical Group Elkhart East, Elkhart, IN 46514-7673 |
| Anna N Matulewicz | Nurse Practitioner | Beacon Medical Group Inc | 3301 County Rd 6, Beacon Medical Group Sleep Medicine, Elkhart, IN 46514-7673 |
| Jenelle H Stefanski | Nurse Practitioner | Beacon Medical Group Inc | 3301 County Rd 6, Beacon Medical Group Sleep Medicine, Elkhart, IN 46514-7673 |
| Michelle R Howe | Family Medicine | Beacon Medical Group Inc | 3301 County Rd 6, Med Point Urgent Care At Cr 6, Elkhart, IN 46514-7673 |
| John Russell Griggs | Family Medicine | Beacon Medical Group Inc | 3301 County Rd 6, Med Point Urgent Care At Cr 6, Elkhart, IN 46514-7673 |
| Jeffrey Scott Howe | Family Medicine | Beacon Medical Group Inc | 3301 County Rd 6, Elkhart, IN 46514-7673 |
| Jeffrey T Szuba | Family Medicine | Beacon Medical Group Inc | 3301 County Rd 6, Elkhart, IN 46514-7673 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason A Hix | Sports Medicine | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Joann E Marinkovich-davidson | Nurse Practitioner | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Mark Klaassen | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Julia K Pagano | Podiatry | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Carolyn M Barbus | Physician Assistant | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Craig Erekson | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Jon B Smucker | Sports Medicine | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Joseph M. Caldwell Ii | Orthopedic Surgery | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Scott C Mclaughlin | Physician Assistant | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| John M Kelbel | Orthopedic Surgery | Ascendant Orthopedic Alliance LLC | 2310 California Rd, Suite A, Elkhart, IN 46514-1228 |
| Find all physicians in zip 46514 | |||
| City | ELKHART |
| Zip Code | 46514 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ELKHART + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Danielle R Russo.
| 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.