Dr Gary D Russell, MD - Medicare Family Medicine in Nicholson, PA

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Dr Gary D Russell, MD is a medicare enrolled "Family Medicine" physician in Nicholson, Pennsylvania. His current practice location is Rt 11, Lackawanna Trail, Nicholson, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 942-6124.

Dr Gary D Russell is licensed to practice in Pennsylvania (license number MD044346E) 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 1891751848.

Contact Information

Dr Gary D Russell, MD
Rt 11, Lackawanna Trail,
Nicholson, PA 18446
(570) 942-6124
(570) 942-6193

Map and Direction




Physician's Profile

Full NameDr Gary D Russell
GenderMale
SpecialityFamily Medicine
LocationRt 11, Nicholson, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891751848
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 07/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6204816556
  • Enrollment ID: I20040726000732

Medical Identifiers

Medical identifiers for Dr Gary D Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891751848NPI-NPPES
001421212MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD044346E (Pennsylvania)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. Dr Gary D Russell allows following entities to bill medicare on his behalf.
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518

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. Dr Gary D 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
Dr Gary D Russell, MD
100 N Academy Ave,
Danville, PA 17822-3034

Ph: (570) 271-6144		Dr Gary D Russell, MD
Rt 11, Lackawanna Trail,
Nicholson, PA 18446

Ph: (570) 942-6124

Reviews and Comments


Family Medicine Doctors in Nicholson, PA

Carole Leigh Hegedty, FNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2631 Us 11, Nicholson, PA 18446
Phone: 570-942-6707    Fax: 570-942-6708

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.