Alex Russell, is a
Student In An Organized Health Care Education/training Program physician based in New York, New York. Alex Russell is licensed to practice in * (Not Available) (license number ) and his current practice location is 622 W 168th St Ph 5-133, New York, New York. He can be reached at his office (for appointments etc.) via phone at
(212) 305-3226.
NPI number for Alex Russell is 1417585423 and his current mailing address is 513 Parnassus Ave, San Francisco, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417585423.
Physician's Profile
| Full Name | Alex Russell |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 622 W 168th St Ph 5-133, New York, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417585423
- Provider Enumeration Date: 03/27/2020
- Last Update Date: 10/08/2024
Medical Identifiers
Medical identifiers for Alex Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417585423 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | A194390 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alex Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alex Russell,
513 Parnassus Ave,
San Francisco, CA 94143-2205
Ph: (415) 335-1297 | Alex Russell,
622 W 168th St Ph 5-133,
New York, NY 10032-3720
Ph: (212) 305-3226 |
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