Mara A Bazdaric-russell, FNP - Medicare Nurse Practitioner in Moira, NY

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Mara A Bazdaric-russell, FNP is a medicare enrolled "Nurse Practitioner - Family" in Moira, New York. Her current practice location is 348 Russell Rd, Moira, New York. You can reach out to her office (for appointments etc.) via phone at (518) 521-7218.

Mara A Bazdaric-russell is licensed to practice in New York (license number 336641) 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 1316245236.

Contact Information

Mara A Bazdaric-russell, FNP
348 Russell Rd,
Moira, NY 12957
(518) 521-7218
Not Available

Map and Direction




Provider's Profile

Full NameMara A Bazdaric-russell
GenderFemale
SpecialityNurse Practitioner - Family
Location348 Russell Rd, Moira, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316245236
  • Provider Enumeration Date: 03/01/2011
  • Last Update Date: 02/28/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0446539571
  • Enrollment ID: I20161114001442

Medical Identifiers

Medical identifiers for Mara A Bazdaric-russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316245236NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 336641 (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. Mara A Bazdaric-russell allows following entities to bill medicare on her behalf.
Entity NameMichael Pm Pond
Entity TypePractitioner - Emergency Medicine
Entity IdentifiersNPI Number: 1962472514
PECOS PAC ID: 6709854367
Enrollment ID: I20040921001002
Entity NameSt Regis Mohawk Tribe
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457344558
PECOS PAC ID: 5799748547
Enrollment ID: O20041111000764
Entity NameMountain Medical Primary Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427100262
PECOS PAC ID: 0244373637
Enrollment ID: O20100208000343
Entity NameStatline Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942872759
PECOS PAC ID: 7214333525
Enrollment ID: O20210913002004

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. Mara A Bazdaric-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
Mara A Bazdaric-russell, FNP
79 Hammond Lane, Ste 2,
Malone, NY 12901

Ph: (518) 563-5900		Mara A Bazdaric-russell, FNP
348 Russell Rd,
Moira, NY 12957

Ph: (518) 521-7218

Reviews and Comments


Nurse Practitioner Nurses in Moira, 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.