Brandon Russell, DO - Medicare Emergency Medicine in Fort Wayne, IN

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Brandon Russell, DO is a medicare enrolled "Emergency Medicine" physician in Fort Wayne, Indiana. His current practice location is 3640 New Vision Drive, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 482-4440.

Brandon Russell is licensed to practice in Ohio (license number 34C.000055) 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 1588603708.

Contact Information

Brandon Russell, DO
3640 New Vision Drive,
Fort Wayne, IN 46845-1717
(260) 482-4440
(260) 482-4442

Map and Direction




Physician's Profile

Full NameBrandon Russell
GenderMale
SpecialityEmergency Medicine
Location3640 New Vision Drive, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588603708
  • Provider Enumeration Date: 06/05/2006
  • Last Update Date: 12/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6608844295
  • Enrollment ID: I20040921001232

Medical Identifiers

Medical identifiers for Brandon Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588603708NPI-NPPES
200825030MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 02003088 (Indiana)Secondary
207P00000XEmergency Medicine 34C.000055 (Ohio)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. Brandon Russell allows following entities to bill medicare on his behalf.
Entity NameAscension Borgess Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568416311
PECOS PAC ID: 5294645750
Enrollment ID: O20040209000029
Entity NameKalamazoo Emergency Associates, Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942251244
PECOS PAC ID: 5890685473
Enrollment ID: O20040317001078

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. Brandon 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 AddressPractice Location Address
Brandon Russell, DO
416 E Maumee St,
Angola, IN 46703-2015

Ph: (260) 665-2141		Brandon Russell, DO
3640 New Vision Drive,
Fort Wayne, IN 46845-1717

Ph: (260) 482-4440

Reviews and Comments


Emergency Medicine Doctors in Fort Wayne, IN

Dr. Danyelle R Aber, M.D.
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Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845
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Amy Souers, M.D.
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Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845
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Aeden J Ligon,
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Practice Location: 9216 Crystal Spring Dr, Fort Wayne, IN 46804
Phone: 765-480-9828    
Albert V Emilian, MD
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Practice Location: 10343 Dawsons Creek Blvd, Suite A, Fort Wayne, IN 46825
Phone: 260-203-9600    Fax: 260-739-6167
Dr. Janardhanan V Davy, M.D.
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Practice Location: 7950 W Jefferson Blvd Ste 2121, Fort Wayne, IN 46804
Phone: 260-435-2937    
Dr. Elmer Toliver, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805
Phone: 260-426-5431    
Bruce Sowers, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
Phone: 260-435-7001    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.