Amanda Russell, is a medicare enrolled "Family Medicine" physician in Dinwiddie, Virginia. She went to Eastern Virginia Medical School and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southern Dominion Health System Inc and her current practice location is
13855 Courthouse Rd, Dinwiddie, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 469-3731.
Amanda Russell is licensed to practice in Virginia (license number 0101264538) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114312295.
Physician's Profile
| Full Name | Amanda Russell |
|---|
| Gender | Female |
|---|
| Speciality | Family Practice |
|---|
| Experience | 9 Years |
|---|
| Location | 13855 Courthouse Rd, Dinwiddie, Virginia |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Amanda Russell attended and graduated from Eastern Virginia Medical School in 2015
NPI Data:
- NPI Number: 1114312295
- Provider Enumeration Date: 04/05/2015
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709193469
- Enrollment ID: I20180919002068
Medical Identifiers
Medical identifiers for Amanda Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114312295 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0101264538 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southern Dominion Health System Inc | 0648188755 | 17 |
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. Amanda Russell allows following entities to bill medicare on her behalf.
| Entity Name | Southern Dominion Health System Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1295706588
PECOS PAC ID: 0648188755
Enrollment ID: O20040611000631 |
|---|
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. Amanda 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 |
|---|
Amanda Russell,
13855 Courthouse Rd,
Dinwiddie, VA 23841-2254
Ph: () - | Amanda Russell,
13855 Courthouse Rd,
Dinwiddie, VA 23841-2254
Ph: (804) 469-3731 |
Reviews and Comments