Look up the most recent NPI and PECOS records

Russell Beckley

Internal Medicine

Allopathic & Osteopathic Physicians

(425) 261-2000 (866) 747-2455

PECOS Enrollment

Based on the most recent information from CMS, provider Russell Beckley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1255425799
Provider Type
Individual
Full Name
Beckley, Russell
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
10/2/2006
Last Updated
3/29/2021

Contact Information

Practice Location

1321 Colby Ave, Everett, WA 98201-1665

(425) 261-2000

Unlisted Fax

Mailing Location

PO Box 3360, Portland, OR 97208-3360

(866) 747-2455

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD00032009 Washington
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License MD00032009 Washington

Russell Beckley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Hulley, George Stephen

Fitelson, Martha

Ghazvinian, Roxanne

Koh, Jerry S

Taswin, Meldy

Wescott, Stephen

Staudinger, Benjamin J

Olinger, Eileen M.

Dreyer, Sheryl

Cheng, Raymond