Chelsea Lynn Russell, is a medicare enrolled "Physician Assistant" physician in Fort Walton Beach, Florida. Her current practice location is
362 Beal Pkwy N Ste 105, Fort Walton Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 862-3020.
Chelsea Lynn Russell is licensed to practice in Florida (license number PA9117653) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962997650.
Physician's Profile
| Full Name | Chelsea Lynn Russell |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 362 Beal Pkwy N Ste 105, Fort Walton Beach, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962997650
- Provider Enumeration Date: 06/26/2018
- Last Update Date: 10/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456756063
- Enrollment ID: I20231107000845
Medical Identifiers
Medical identifiers for Chelsea Lynn Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962997650 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | PA11842 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PAC0860 (North Dakota) | Secondary |
| 363A00000X | Physician Assistant | PA9117653 (Florida) | 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. Chelsea Lynn 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 |
|---|
Chelsea Lynn Russell,
362 Beal Pkwy N Ste 105,
Fort Walton Beach, FL 32548-3926
Ph: (850) 862-3020 | Chelsea Lynn Russell,
362 Beal Pkwy N Ste 105,
Fort Walton Beach, FL 32548-3926
Ph: (850) 862-3020 |
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