Janice A Russell, NP | |
401 E Elm St, Carson City, MI 48811-0670 | |
(989) 584-3107 | |
(989) 584-6458 |
Full Name | Janice A Russell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Obstetrics & Gynecology |
Location | 401 E Elm St, Carson City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922177377 | NPI | - | NPPES |
4450218 | Medicaid | MI | |
4450227 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 5101010614 (Michigan) | Primary |
Entity Name | Sparrow Carson Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598490542 PECOS PAC ID: 7113836701 Enrollment ID: O20040126000046 |
Mailing Address | Practice Location Address |
---|---|
Janice A Russell, NP Po Box 670, Carson City, MI 48811-0670 Ph: (989) 584-3107 | Janice A Russell, NP 401 E Elm St, Carson City, MI 48811-0670 Ph: (989) 584-3107 |
Monte Joseph Malek, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 406 E Elm St, Carson City, MI 48811 Phone: 989-584-3971 | |
Ms. Andrea Chelene Edgar, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10274 E Boyer Rd, Carson City, MI 48811 Phone: 989-584-3941 Fax: 989-584-6579 | |
Ms. Patricia A Terry, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 S Third St, Suite 100, Carson City, MI 48811 Phone: 989-584-1308 Fax: 989-584-0307 | |
Ms. Nancy A Weaver, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 518 E Elm St, Carson City, MI 48811 Phone: 989-584-1308 Fax: 989-584-0307 | |
Mrs. Morgan A Stoneman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 406 E Elm St, Carson City, MI 48811 Phone: 989-584-3131 | |
Mrs. Amanda Elizabeth Bennett, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 South Thrid Street, Suite 100, Carson City, MI 48811 Phone: 989-584-1308 | |
Wanda Kay Myers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 S 3rd St, Suite 100, Carson City, MI 48811 Phone: 989-584-1308 Fax: 989-584-0307 |