Sandra K Russell, DO - Medicare Obstetrics/gynecology in Okemos, MI

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Sandra K Russell, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Okemos, Michigan. She went to Michigan State University College Of Osteopathic Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Mclaren Medical Group, Mclaren Greater Lansing and her current practice location is 2104 Jolly Rd, Suite 220, Okemos, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 975-1400.

Sandra K Russell is licensed to practice in Michigan (license number 5101010708) 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 1417937723.

Contact Information

Sandra K Russell, DO
2104 Jolly Rd, Suite 220,
Okemos, MI 48864-6043
(517) 975-1400
(517) 975-1405

Map and Direction




Physician's Profile

Full NameSandra K Russell
GenderFemale
SpecialityObstetrics/gynecology
Experience35 Years
Location2104 Jolly Rd, Okemos, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sandra K Russell attended and graduated from Michigan State University College Of Osteopathic Medicine in 1989
  NPI Data:
  • NPI Number: 1417937723
  • Provider Enumeration Date: 01/20/2006
  • Last Update Date: 11/29/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4688704216
  • Enrollment ID: I20100609000019

Medical Identifiers

Medical identifiers for Sandra K Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417937723NPI-NPPES
0700083OtherMIPHYSICIANS HEALTH PLAN
160C311260OtherMIBLUE CHOICE
160C311260OtherMIBLUE CARE NETWORK
1006244OtherMIMCLAREN HEALTH PLAN
E68082OtherMIHEALTH NET FEDERAL SERVIC
4460493MedicaidMI
160C311260OtherMICOMMUNITY BLUE PPO
1006244OtherMIHEALTH ADVANTAGE NETWORK
1652300205OtherMIBLUE CROSS BLUE SHIELD
160C311260OtherMIBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 5101010708 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mclaren Greater LansingLansing, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mclaren Medical Group3971416082195
Mclaren Greater Lansing7214833466101

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. Sandra K Russell allows following entities to bill medicare on her behalf.
Entity NameMclaren Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346396066
PECOS PAC ID: 3971416082
Enrollment ID: O20031106000025
Entity NameMclaren Greater Lansing
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265600902
PECOS PAC ID: 7214833466
Enrollment ID: O20031217000526
Entity NameMclaren Central Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266063
PECOS PAC ID: 6103733092
Enrollment ID: O20040309000447
Entity NameMclaren Lapeer Region
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124151147
PECOS PAC ID: 8123000544
Enrollment ID: O20050730000017
Entity NameMclaren Flint
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275807372
PECOS PAC ID: 8628975497
Enrollment ID: O20120620000454
Entity NameMclaren Greater Lansing
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972878452
PECOS PAC ID: 7214833466
Enrollment ID: O20121226000286

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. Sandra K 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 AddressPractice Location Address
Sandra K Russell, DO
401 S Ballenger Hwy,
Flint, MI 48532-3638

Ph: (810) 342-1000		Sandra K Russell, DO
2104 Jolly Rd, Suite 220,
Okemos, MI 48864-6043

Ph: (517) 975-1400

Reviews and Comments


Obstetrics & Gynecology Doctors in Okemos, MI

Cassandra Wormack, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2205 Jolly Rd, Ste. B, Okemos, MI 48864
Phone: 517-347-4085    Fax: 517-347-4170
Dr. Angela C Griffin, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1600 W Grand River Ave, Suite 1, Okemos, MI 48864
Phone: 517-381-6870    Fax: 517-381-6871
Dr. Sung G Lee, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 4129 Okemos Rd, Suite 7, Okemos, MI 48864
Phone: 517-351-1766    Fax: 517-351-3115
Thomas Petroff, DO
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 2445 Jolly Rd, Suite 100, Okemos, MI 48864
Phone: 517-347-4040    Fax: 517-347-4109

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.