Emily Brooke Russell, is a
Nurse Practitioner - Adult Health based in Dickinson Center, New York. Emily Brooke Russell is licensed to practice in New York (license number F311786) and her current practice location is
146 Louey Rd, Dickinson Center, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 651-7491.
NPI number for Emily Brooke Russell is 1114763455 and her current mailing address is 146 Louey Rd, Dickinson Center, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114763455.
Provider's Profile
Full Name | Emily Brooke Russell |
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Gender | Female |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 146 Louey Rd, Dickinson Center, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114763455
- Provider Enumeration Date: 07/05/2024
- Last Update Date: 07/05/2024
Medical Identifiers
Medical identifiers for Emily Brooke Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114763455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | F311786 (New York) | 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. Emily Brooke Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice 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 |
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