Daniel James Russell, NP in Burlington, WI - Medicare Nurse Practitioner

Daniel James Russell, NP is a medicare enrolled "Nurse Practitioner" in Burlington, Wisconsin. His current practice location is 677 E State St, Burlington, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 763-9531.

Daniel James Russell is licensed to practice in Wisconsin (license number 13237-33) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639933484.

Contact Information

	Daniel James Russell, NP
	677 E State St, Burlington, WI 53105-1639
	(262) 763-9531
	Not Available

Map and Direction

Provider's Profile

Full Name	Daniel James Russell
Gender	Male
Speciality	Nurse Practitioner
Location	677 E State St, Burlington, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639933484
Provider Enumeration Date: 02/12/2024
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 1052759032
Enrollment ID: I20240410000803

Medical Identifiers

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

Identifier	Type	State	Issuer
1639933484	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	13237-33 (Wisconsin)	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. Daniel James Russell allows following entities to bill medicare on his behalf.

Entity Name	Theoria Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20220331000407

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. Daniel James 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
Daniel James Russell, NP 8610 45th Ave, Kenosha, WI 53142-2435 Ph: (262) 939-4744	Daniel James Russell, NP 677 E State St, Burlington, WI 53105-1639 Ph: (262) 763-9531

Reviews and Comments

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Brian A Schroeder, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8000
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Michele G Fojas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-767-6000 Fax: 262-767-6545
Lisa L Bray, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 709 Spring Valley Rd, Burlington, WI 53105 Phone: 262-971-9200
Corina E Beck, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-741-2734
Ms. Victoria M Bleser, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 248 Mchenry St, Burlington, WI 53105 Phone: 262-767-8259 Fax: 262-767-8212

Daniel James Russell, NP - Medicare Nurse Practitioner in Burlington, WI