Connie Russell, in Salt Lake City, UT

Connie Russell, is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake City, Utah. Her current practice location is 1205 E Bonner Way, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 598-8337.

Connie Russell is licensed to practice in Utah (license number 366691-4405) 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 1518509637.

Contact Information

	Connie Russell,
	1205 E Bonner Way, Salt Lake City, UT 84117-4917
	(801) 598-8337
	Not Available

Map and Direction

Provider's Profile

Full Name	Connie Russell
Gender	Female
Speciality
Experience	Years
Location	1205 E Bonner Way, Salt Lake City, Utah
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:

Connie Russell attended and graduated from in

NPI Data:

NPI Number: 1518509637
Provider Enumeration Date: 10/09/2019
Last Update Date: 10/15/2020

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

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

Identifier	Type	State	Issuer
1518509637	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	366691-3102 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	366691-4405 (Utah)	Primary

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. Connie 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
Connie Russell, 9091 S Excaliber Way, West Jordan, UT 84088-6583 Ph: (801) 824-7406	Connie Russell, 1205 E Bonner Way, Salt Lake City, UT 84117-4917 Ph: (801) 598-8337

Reviews and Comments

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Connie Russell, - Medicare in Salt Lake City, UT