Jeffrey Dane Russell, PA-C in Baltimore, MD - Medicare Physician Assistant

Jeffrey Dane Russell, PA-C is a medicare enrolled "Physician Assistant" in Baltimore, Maryland. His current practice location is 900 Caton Ave, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 368-2000.

Jeffrey Dane Russell is licensed to practice in Maryland (license number C0005160) 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 1518394204.

Contact Information

	Jeffrey Dane Russell, PA-C
	900 Caton Ave, Baltimore, MD 21229-5201
	(410) 368-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeffrey Dane Russell
Gender	Male
Speciality	Physician Assistant
Location	900 Caton Ave, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518394204
Provider Enumeration Date: 09/26/2013
Last Update Date: 09/26/2013

Medicare PECOS Information:

PECOS PAC ID: 0547490443
Enrollment ID: I20140219001949

Medical Identifiers

Medical identifiers for Jeffrey Dane Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518394204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	C0005160 (Maryland)	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. Jeffrey Dane 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
Jeffrey Dane Russell, PA-C 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 Ph: (510) 350-2600	Jeffrey Dane Russell, PA-C 900 Caton Ave, Baltimore, MD 21229-5201 Ph: (410) 368-2000

Reviews and Comments

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Jeffrey Dane Russell, PA-C - Medicare Physician Assistant in Baltimore, MD