Mr Bruce Lynn Russell, MD PLLC is a medicare enrolled "Family Medicine" physician in Port Aransas, Texas. He went to University Of Texas Medical School At Houston and graduated in 1984 and has 40 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Bruce L Russell Md Pllc and 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 | Family Practice |
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| Experience | 40 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. |
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Medical Education and Training:
- Mr Bruce Lynn Russell attended and graduated from University Of Texas Medical School At Houston in 1984
NPI Data:
- NPI Number: 1336134188
- Provider Enumeration Date: 09/19/2005
- Last Update Date: 10/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022082353
- Enrollment ID: I20050607000309
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bruce L Russell Md Pllc | 1759510985 | 2 |
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. Mr Bruce Lynn Russell allows following entities to bill medicare on his behalf.
| Entity Name | Bruce L Russell Md Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134385198
PECOS PAC ID: 1759510985
Enrollment ID: O20140210000556 |
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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. 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 |
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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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