Mr Jeremy Lawrence Russell, PA-C in Hammond, LA

Mr Jeremy Lawrence Russell, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Hammond, Louisiana. His current practice location is 15790 Paul Vega Md Dr, Hammond, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 345-2700.

Mr Jeremy Lawrence Russell is licensed to practice in Louisiana (license number 332993) 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 1639808306.

Contact Information

	Mr Jeremy Lawrence Russell, PA-C
	15790 Paul Vega Md Dr, Hammond, LA 70403-1436
	(985) 345-2700
	(985) 230-6653

Map and Direction

Provider's Profile

Full Name	Mr Jeremy Lawrence Russell
Gender	Male
Speciality	Physician Assistant - Surgical
Location	15790 Paul Vega Md Dr, Hammond, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639808306
Provider Enumeration Date: 06/08/2022
Last Update Date: 06/08/2023

Medicare PECOS Information:

PECOS PAC ID: 4789068198
Enrollment ID: I20220902002542

Medical Identifiers

Medical identifiers for Mr Jeremy Lawrence Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639808306	NPI	-	NPPES
1639808306	Other	LA	NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1196694 (Louisiana)	Secondary
363AS0400X	Physician Assistant - Surgical	332993 (Louisiana)	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. Mr Jeremy Lawrence 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 Jeremy Lawrence Russell, PA-C Po Box 1389, Albany, LA 70711-1389 Ph: (985) 320-2195	Mr Jeremy Lawrence Russell, PA-C 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 Ph: (985) 345-2700

Reviews and Comments

Physician Assistant Nurses in Hammond, LA

Miss Andrea Maria Legendre, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15813 Paul Vega Md Dr Ste 100, Hammond, LA 70403 Phone: 985-230-2663
Olivia Buquoi, Physician Assistant Medicare: Medicare Enrolled Practice Location: 15813 Paul Vega Md Dr # 403, Hammond, LA 70403 Phone: 985-230-7350
Ashley Hotard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700
Melinda Flocke Bonner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 42205 Veterans Ave, Hammond, LA 70403 Phone: 985-375-9979
Rachael Mclaughlin Rolling, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 41676 Veterans Ave, Hammond, LA 70403 Phone: 985-543-3600
Andrew Bragagnini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16014 Doctors Blvd, Hammond, LA 70403 Phone: 985-340-7868 Fax: 985-340-7866

Mr Jeremy Lawrence Russell, PA-C - Medicare Physician Assistant in Hammond, LA