Jacqueline M Russell, DO in Calais, ME - Medicare Family Medicine

Jacqueline M Russell, DO is a medicare enrolled "Family Medicine" physician in Calais, Maine. Her current practice location is 37 Palmer St Ste 3, Calais, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 454-8195.

Jacqueline M Russell is licensed to practice in Maine (license number DO3305) 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 1730742107.

Contact Information

	Jacqueline M Russell, DO
	37 Palmer St Ste 3, Calais, ME 04619-1341
	(207) 454-8195
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacqueline M Russell
Gender	Female
Speciality	Family Medicine
Location	37 Palmer St Ste 3, Calais, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730742107
Provider Enumeration Date: 04/20/2019
Last Update Date: 09/08/2023

Medicare PECOS Information:

PECOS PAC ID: 7214396183
Enrollment ID: I20230710003702

Medical Identifiers

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

Identifier	Type	State	Issuer
1730742107	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	DO3305 (Maine)	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. Jacqueline M Russell allows following entities to bill medicare on her behalf.

Entity Name	Calais Community Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1922001049 PECOS PAC ID: 0345649158 Enrollment ID: O20210910001201

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. Jacqueline M 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
Jacqueline M Russell, DO 210 Holmes Rd, Scarborough, ME 04074-8410 Ph: (207) 995-0732	Jacqueline M Russell, DO 37 Palmer St Ste 3, Calais, ME 04619-1341 Ph: (207) 454-8195

Reviews and Comments

Family Medicine Doctors in Calais, ME

Ericka Karen Marshall, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 37 Palmer St, Calais, ME 04619 Phone: 207-454-7521
Dr. James Edward Eshleman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 37 Palmer St Ste 3, Calais, ME 04619 Phone: 207-454-8195
Carlos A Ahumada, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 37 Palmer St, Calais, ME 04619 Phone: 207-454-8195 Fax: 207-454-3840
Maria Teresa Zientara, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1410 River Rd, Calais, ME 04619 Phone: 207-454-8188
Laurie A Churchill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Hospital Ln, Calais, ME 04619 Phone: 207-454-7521

Jacqueline M Russell, DO - Medicare Family Medicine in Calais, ME