Individual ProviderJeff RussellStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3000 Arlington Ave, Toledo, OH 43614-2595(419) 383-4000PECOS EnrollmentBased on the most recent information from CMS, provider Jeff Russell does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 3:36 PM.Profile DetailsProvider ID1336765643Provider TypeIndividualFull NameRussell, JeffGenderMaleSole ProprietorNoEnumeration Date6/23/2020Last Updated6/23/2020Contact InformationPractice LocationPractice Address3000 Arlington Ave, Toledo, OH 43614-2595Phone(419) 383-4000FaxUnlisted FaxMailing LocationMailing Address3000 Arlington Ave, Toledo, OH 43614-2598Phone(419) 383-4000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer