Mrs Georgia Russell, APRN is a medicare enrolled "Nurse Practitioner - Family" in Moab, Utah. Her current practice location is
450 Williams Way, Moab, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 719-3510.
Mrs Georgia Russell is licensed to practice in Utah (license number 209410-4405) 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 1073785408.
Provider's Profile
Full Name | Mrs Georgia Russell |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 450 Williams Way, Moab, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073785408
- Provider Enumeration Date: 03/26/2008
- Last Update Date: 08/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 4880754266
- Enrollment ID: I20081114000283
Medical Identifiers
Medical identifiers for Mrs Georgia Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073785408 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209410-4405 (Utah) | 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. Mrs Georgia Russell allows following entities to bill medicare on her behalf.
Entity Name | Moab Valley Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770513236 PECOS PAC ID: 2466361720 Enrollment ID: O20040114000346 |
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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. Mrs Georgia 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 |
Mrs Georgia Russell, APRN 450 Williams Way, Moab, UT 84532-2185 Ph: (435) 719-3510 | Mrs Georgia Russell, APRN 450 Williams Way, Moab, UT 84532 Ph: (435) 719-3510 |
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