Mr Bruce Lynn Russell, MD PLLC is a medicare enrolled "Family Medicine" physician in Port Aransas, Texas. His current practice location is
600 Cut Off Rd, Suite 14, Port Aransas, Texas. You can reach out to his office (for appointments etc.) via phone at
(361) 749-1930.
Mr Bruce Lynn Russell is licensed to practice in New York (license number 187912) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1336134188.
Physician's Profile
Full Name | Mr Bruce Lynn Russell |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 600 Cut Off Rd, Port Aransas, Texas |
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Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Bruce Lynn Russell attended and graduated from in
NPI Data:
- NPI Number: 1336134188
- Provider Enumeration Date: 09/19/2005
- Last Update Date: 10/17/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Bruce Lynn Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336134188 | NPI | - | NPPES |
1821670-01 | Medicaid | TX | |
01276695 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 187912 (New York) | Primary |
207P00000X | Emergency Medicine | G8391 (Texas) | Secondary |
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. Mr Bruce 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 |
Mr Bruce Lynn Russell, MD PLLC 600 Cut Off Road, Suite 14, Port Aransas, TX 78373-4246 Ph: (361) 749-1930 | Mr Bruce Lynn Russell, MD PLLC 600 Cut Off Rd, Suite 14, Port Aransas, TX 78373-4245 Ph: (361) 749-1930 |
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