Daniel Russell, CRNA in Gulfport, MS - Medicare Certified Registered Nurse Anesthetist (crna)

Daniel Russell, CRNA is a medicare enrolled "Anesthesiology" physician in Gulfport, Mississippi. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Etas Pllc and his current practice location is 4500 13th St, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 818-0563.

Daniel Russell is licensed to practice in Mississippi (license number R639869) 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 1689743031.

Contact Information

	Daniel Russell, CRNA
	4500 13th St, Gulfport, MS 39501-2515
	(228) 818-0563
	(228) 818-0519

Map and Direction

Physician's Profile

Full Name	Daniel Russell
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	37 Years
Location	4500 13th St, Gulfport, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Daniel Russell graduated from medical school in 1987

NPI Data:

NPI Number: 1689743031
Provider Enumeration Date: 11/07/2006
Last Update Date: 06/13/2018

Medicare PECOS Information:

PECOS PAC ID: 7012937071
Enrollment ID: I20051206000164

Medical Identifiers

Medical identifiers for Daniel Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689743031	NPI	-	NPPES
00120416	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	R639869 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital At Gulfport	Gulfport, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Etas Pllc	8123481934	44

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. Daniel Russell allows following entities to bill medicare on his behalf.

Entity Name	Etas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679259360 PECOS PAC ID: 8123481934 Enrollment ID: O20230828000521

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. Daniel 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
Daniel Russell, CRNA 4500 13th St, Gulfport, MS 39501-2515 Ph: (228) 818-0563	Daniel Russell, CRNA 4500 13th St, Gulfport, MS 39501-2515 Ph: (228) 818-0563

Reviews and Comments

Anesthesiology Doctors in Gulfport, MS

Stanley Turner, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-818-0563 Fax: 228-818-0519
Davis Hutto, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-818-0563 Fax: 228-818-0519
Matthew Blanchard, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15476 Dedeaux Rd Ste B, Gulfport, MS 39503 Phone: 228-230-2663 Fax: 228-546-3257
Juanita Derouen, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-818-0563 Fax: 228-818-0519
Mr. Marc L Simpkins, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-818-0563 Fax: 228-818-0519
Dr. John C Briggs, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000
Ronald P. Bernadas, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 15190 Community Rd Ste 230a, Gulfport, MS 39503 Phone: 228-831-0204 Fax: 228-831-1868

Daniel Russell, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Gulfport, MS