Dr. Russell John Ellicott is a Martinez, Georgia based male podiatrist with 42 years of experience in Podiatry. He completed his graduation from Kent State University College Of Podiatric Medicine in 1982. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Russell John Ellicott for Podiatry is POD000558 in Georgia. Dr. Russell John Ellicott is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Russell John Ellicott speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
D.P.M.
Experience:
42+ years
Medical School Attended:
Kent State University College Of Podiatric Medicine
Graduation Year:
1982
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
501 Furys Ferry Rd, Martinez, Georgia, 30907-9059
Phone:
706-738-3298
Fax:
706-364-4290
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6406137520
Enrollment ID:
I20170104001473
NPI Number:
1720022452
NPI Enumeration Date:
15 Jun, 2006
NPI Last Update On:
06 Feb, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Russell John Ellicott are as mentioned below.
License Number
Specialization
State
Status
POD000558
Podiatry
Georgia
Primary
96
Podiatry
South Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Russell John Ellicott such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00336124A
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
501 Fury's Ferry Road, Martinez, Georgia
Zip:
30907
Phone Number:
706-738-3298
Fax Number:
706-364-4290
Patients can reach Dr. Russell John Ellicott at 501 Furys Ferry Rd, Martinez, Georgia or can call to book an appointment on 706-738-3298. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.