Mr Jonathan Forrest Russell, PA in Winston, OR - Medicare Physician Assistant

Mr Jonathan Forrest Russell, PA is a medicare enrolled "Physician Assistant" in Winston, Oregon. He graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Adapt and his current practice location is 221 Ne Main St, Winston, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 492-4550.

Mr Jonathan Forrest Russell is licensed to practice in Arizona (license number 3822) 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 1396934196.

Contact Information

	Mr Jonathan Forrest Russell, PA
	221 Ne Main St, Winston, OR 97496-6562
	(541) 492-4550
	(541) 679-2005

Map and Direction

Provider's Profile

Full Name	Mr Jonathan Forrest Russell
Gender	Male
Speciality	Physician Assistant
Experience	17 Years
Location	221 Ne Main St, Winston, Oregon
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:

Mr Jonathan Forrest Russell graduated from nursing school in 2007

NPI Data:

NPI Number: 1396934196
Provider Enumeration Date: 10/17/2007
Last Update Date: 05/20/2020

Medicare PECOS Information:

PECOS PAC ID: 6406992122
Enrollment ID: I20130731000661

Medical Identifiers

Medical identifiers for Mr Jonathan Forrest Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396934196	NPI	-	NPPES
ZFQ31820	Other		MEDICARE
03-1815	Other		MEDICARE
03-1820	Other		MEDICARE
ZFQ31815	Other		MEDICARE
Z132429	Other		MEDICARE
364775	Medicaid	AZ
Z139132	Other		MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	3822 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Medical Center	Roseburg, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Adapt	4587662887	27

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. Mr Jonathan Forrest 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
Mr Jonathan Forrest Russell, PA 671 Sw Main St, Winston, OR 97496-6571 Ph: (541) 492-4550	Mr Jonathan Forrest Russell, PA 221 Ne Main St, Winston, OR 97496-6562 Ph: (541) 492-4550

Reviews and Comments

Physician Assistant Nurses in Winston, OR

Laecey May Foster,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 671 Sw Main St, Winston, OR 97496
Phone: 541-492-4550

Mr Jonathan Forrest Russell, PA - Medicare Physician Assistant in Winston, OR