Alexander S Russell, PA is a medicare enrolled "Physician Assistant" physician in Detroit, Michigan. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Henry Ford Medical Group and his current practice location is
2799 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 874-4696.
Alexander S Russell is licensed to practice in Michigan (license number 5601008724) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659895993.
Physician's Profile
| Full Name | Alexander S Russell |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 2799 W Grand Blvd, Detroit, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alexander S Russell graduated from medical school in 2016
NPI Data:
- NPI Number: 1659895993
- Provider Enumeration Date: 07/28/2017
- Last Update Date: 07/25/2018
Medicare PECOS Information:
- PECOS PAC ID: 7012282536
- Enrollment ID: I20180904001567
Medical Identifiers
Medical identifiers for Alexander S Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659895993 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 50.005155RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 5601008724 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Henry Ford Medical Group | 0547178311 | 2124 |
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. Alexander S 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 |
|---|
Alexander S Russell, PA
2799 W Grand Blvd,
Detroit, MI 48202-2608
Ph: (313) 874-4696 | Alexander S Russell, PA
2799 W Grand Blvd,
Detroit, MI 48202
Ph: (313) 874-4696 |
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