Emily Brooke Russell, - Medicare Nurse Practitioner in Dickinson Center, NY

  1. Home
  2. Nurse Practitioner
  3. NY
  4. Dickinson Center
Emily Brooke Russell, is a medicare enrolled "Nurse Practitioner - Adult Health" in Dickinson Center, New York. Her current practice location is 146 Louey Rd, Dickinson Center, New York. You can reach out to her office (for appointments etc.) via phone at (518) 651-7491.

Emily Brooke Russell is licensed to practice in New York (license number F311786) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114763455.

Contact Information

Emily Brooke Russell,
146 Louey Rd,
Dickinson Center, NY 12930-1723
(518) 651-7491
Not Available

Map and Direction




Provider's Profile

Full NameEmily Brooke Russell
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location146 Louey Rd, Dickinson Center, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114763455
  • Provider Enumeration Date: 07/05/2024
  • Last Update Date: 07/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2365980596
  • Enrollment ID: I20240819001980

Medical Identifiers

Medical identifiers for Emily Brooke Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114763455NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F311786 (New York)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. Emily Brooke Russell allows following entities to bill medicare on her behalf.
Entity NameSupportive Care Psychiatry Of Ny Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740994433
PECOS PAC ID: 4981076247
Enrollment ID: O20230214002558

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. Emily Brooke 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
Emily Brooke Russell,
146 Louey Rd,
Dickinson Center, NY 12930-1723

Ph: (518) 651-7491		Emily Brooke Russell,
146 Louey Rd,
Dickinson Center, NY 12930-1723

Ph: (518) 651-7491

Reviews and Comments


Nurse Practitioner Nurses in Dickinson Center, NY


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.