Mrs Dana Mariea Russell, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Maryville, Tennessee. Her current practice location is
1303 Walker School Rd, Maryville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 724-7378.
Mrs Dana Mariea Russell is licensed to practice in Tennessee (license number 33490) 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 1306547476.
Physician's Profile
Full Name | Mrs Dana Mariea Russell |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1303 Walker School Rd, Maryville, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306547476
- Provider Enumeration Date: 03/15/2023
- Last Update Date: 03/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 1153786090
- Enrollment ID: I20230428001932
Medical Identifiers
Medical identifiers for Mrs Dana Mariea Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306547476 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 33490 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | 33490 (Tennessee) | 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. Mrs Dana Mariea Russell allows following entities to bill medicare on her behalf.
Entity Name | Dx Mso Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225381148 PECOS PAC ID: 7719131101 Enrollment ID: O20130213000017 |
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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. Mrs Dana Mariea 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 |
Mrs Dana Mariea Russell, FNP-BC 1303 Walker School Rd, Maryville, TN 37803-8736 Ph: (865) 724-7378 | Mrs Dana Mariea Russell, FNP-BC 1303 Walker School Rd, Maryville, TN 37803-8736 Ph: (865) 724-7378 |
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