Nicole Elizabeth Russell, MD in Sandpoint, ID

Nicole Elizabeth Russell, MD is a medicare enrolled "Family Medicine" physician in Sandpoint, Idaho. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Boundary Regional Community Health Center, Inc. and her current practice location is 810 North 6th Ave., Sandpoint, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 265-6252.

Nicole Elizabeth Russell is licensed to practice in Idaho (license number M-16119) 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 1982017968.

Contact Information

	Nicole Elizabeth Russell, MD
	810 North 6th Ave., Sandpoint, ID 83864
	(208) 265-6252
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicole Elizabeth Russell
Gender	Female
Speciality	Family Practice
Experience	11 Years
Location	810 North 6th Ave., Sandpoint, Idaho
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Elizabeth Russell graduated from medical school in 2014

NPI Data:

NPI Number: 1982017968
Provider Enumeration Date: 06/06/2014
Last Update Date: 03/20/2024

Medicare PECOS Information:

PECOS PAC ID: 1759601230
Enrollment ID: I20220307002347

Medical Identifiers

Medical identifiers for Nicole Elizabeth Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982017968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MED-PHYS-LIC-58693 (Montana)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Q00000X	Family Medicine	M-16119 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bonner General Hospital	Sandpoint, ID	Hospital
Kootenai Health	Coeur d'alene, ID	Hospital
Boundary Community Hospital	Bonners ferry, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Boundary Regional Community Health Center, Inc.	2264341221	19

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. Nicole Elizabeth Russell allows following entities to bill medicare on her behalf.

Entity Name	Boundary Regional Community Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538447727 PECOS PAC ID: 2264341221 Enrollment ID: O20050211000195

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. Nicole Elizabeth 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
Nicole Elizabeth Russell, MD 810 North 6th Ave., Sandpoint, ID 83864 Ph: (208) 265-6252	Nicole Elizabeth Russell, MD 810 North 6th Ave., Sandpoint, ID 83864 Ph: (208) 265-6252

Reviews and Comments

Family Medicine Doctors in Sandpoint, ID

Daniel Jack Meulenberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 N 3rd Ave Ste 101, Sandpoint, ID 83864 Phone: 208-263-1435 Fax: 208-263-7812
Patricia Jane Hennessy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1205 Highway 2, Suite 301, Sandpoint, ID 83864 Phone: 208-265-9909 Fax: 208-265-5351
Dr. Timothy Ray Bonine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 Ponderosa Dr, Suite 103, Sandpoint, ID 83864 Phone: 208-263-9545 Fax: 208-263-9539
Tracey Koch, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 420 N Second Ave, Suite 100, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214
W Hugh Leedy, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1327 Superior St, Sandpoint, ID 83864 Phone: 208-263-1718 Fax: 208-263-7198
Dr. Steven C Puffer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1327 Superior St, Sandpoint, ID 83864 Phone: 208-263-7101 Fax: 208-263-7198
Dr. Frazier King, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2023 Sandpoint West Dr, Sandpoint, ID 83864 Phone: 208-255-1523 Fax: 208-255-7894

Nicole Elizabeth Russell, MD - Medicare Family Practice in Sandpoint, ID