Dr Hannah Nikkole Russell, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Haven, Connecticut. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Smi Imaging Llc and her current practice location is
333 Cedar St Rm Cb-30, Yusm - Radiology, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 785-5102.
Dr Hannah Nikkole Russell is licensed to practice in * (Not Available) (license number ) 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 1083901516.
Physician's Profile
| Full Name | Dr Hannah Nikkole Russell |
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| Gender | Female |
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| Speciality | Diagnostic Radiology |
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| Experience | 13 Years |
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| Location | 333 Cedar St Rm Cb-30, New Haven, Connecticut |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Hannah Nikkole Russell graduated from medical school in 2011
NPI Data:
- NPI Number: 1083901516
- Provider Enumeration Date: 07/05/2011
- Last Update Date: 11/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 3971823998
- Enrollment ID: I20180103000414
Medical Identifiers
Medical identifiers for Dr Hannah Nikkole Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083901516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 5101019491 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Smi Imaging Llc | 3476696220 | 234 |
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 Hannah Nikkole Russell allows following entities to bill medicare on her behalf.
| Entity Name | Smi Imaging Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20180829003142 |
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| Entity Name | Simonmed Reno Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306576145
PECOS PAC ID: 5991140360
Enrollment ID: O20240612002201 |
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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 Hannah Nikkole 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 |
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Dr Hannah Nikkole Russell, DO
333 Cedar St Rm Cb-30, Yusm - Radiology,
New Haven, CT 06510-3206
Ph: (203) 785-5102 | Dr Hannah Nikkole Russell, DO
333 Cedar St Rm Cb-30, Yusm - Radiology,
New Haven, CT 06510-3206
Ph: (203) 785-5102 |
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