Alex Russell, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New York, New York. His current practice location is
622 W 168th St Ph 5-133, New York, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 305-3226.
Alex Russell is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417585423
- Provider Enumeration Date: 03/27/2020
- Last Update Date: 10/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698214070
- Enrollment ID: I20241015001212
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 Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alex Russell allows following entities to bill medicare on his behalf.
Entity Name | University Of California San Francisco |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
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Entity Name | University Anesthesia Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528137296 PECOS PAC ID: 2769370535 Enrollment ID: O20040304001219 |
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Entity Name | Ucsf Medical Group Business Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
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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
enrolled with medicare and thus, if eligible, can 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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