Earl D Russell Jr, FNP in Brookhaven, MS - Medicare Nurse Practitioner

Earl D Russell Jr, FNP is a medicare enrolled "Nurse Practitioner - Family" in Brookhaven, Mississippi. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Kdmc Physician Clinics Llc and his current practice location is 427 Highway 51 N, Brookhaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 823-5301.

Earl D Russell Jr is licensed to practice in Mississippi (license number R852034) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447412275.

Contact Information

	Earl D Russell Jr, FNP
	427 Highway 51 N, Brookhaven, MS 39601-2350
	(601) 823-5301
	(601) 833-8742

Map and Direction

Provider's Profile

Full Name	Earl D Russell Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	16 Years
Location	427 Highway 51 N, Brookhaven, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Earl D Russell Jr graduated from nursing school in 2008

NPI Data:

NPI Number: 1447412275
Provider Enumeration Date: 07/02/2008
Last Update Date: 07/02/2008

Medicare PECOS Information:

PECOS PAC ID: 5092883447
Enrollment ID: I20081013000065

Medical Identifiers

Medical identifiers for Earl D Russell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447412275	NPI	-	NPPES
R852034	Other	MS	MS LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R852034 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
King's Daughters Medical Center-brookhaven	Brookhaven, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kdmc Physician Clinics Llc	7012154495	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. Earl D Russell Jr allows following entities to bill medicare on his behalf.

Entity Name	Kings Daughters Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043245368 PECOS PAC ID: 3072575539 Enrollment ID: O20041028000174

Entity Name	Kdmc Physician Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861739161 PECOS PAC ID: 7012154495 Enrollment ID: O20130501000541

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. Earl D Russell Jr 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
Earl D Russell Jr, FNP Po Box 5440, Brookhaven, MS 39603-5440 Ph: (601) 587-7983	Earl D Russell Jr, FNP 427 Highway 51 N, Brookhaven, MS 39601-2350 Ph: (601) 823-5301

Reviews and Comments

Nurse Practitioner Nurses in Brookhaven, MS

Miss Montoyae C Leavy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 747 Industrial Park Rd Ne, Brookhaven, MS 39601 Phone: 601-833-4111
Tonya C Hughey, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 940 Brookway Blvd, Brookhaven, MS 39601 Phone: 601-823-5000 Fax: 601-823-4140
Mrs. Candace Laird Duckworth, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1578 Shanna Ln Nw, Brookhaven, MS 39601 Phone: 601-757-9659
Sally M Proffitt, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1024 D A Biglane Dr, Brookhaven, MS 39601 Phone: 601-823-8000
Marty Kyle Ballard Sr., FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 327 N Jackson St, Brookhaven, MS 39601 Phone: 601-833-3800 Fax: 601-833-3847
Jennifer D Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 W Congress St, Brookhaven, MS 39601 Phone: 601-833-9388 Fax: 601-833-9495
Miss Brittany Griffin Mullins, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Highway 51 N Ste A, Brookhaven, MS 39601 Phone: 601-833-5333

Earl D Russell Jr, FNP - Medicare Nurse Practitioner in Brookhaven, MS