Mrs Hailey Russell, DNP, FNP in Clinton, UT - Medicare Nurse Practitioner

Mrs Hailey Russell, DNP, FNP is a medicare enrolled "Nurse Practitioner - Family" in Clinton, Utah. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tanner Memorial Clinic and her current practice location is 1477 N 2000 W, Clinton, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 773-4840.

Mrs Hailey Russell is licensed to practice in Utah (license number 9771200-4405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104587864.

Contact Information

	Mrs Hailey Russell, DNP, FNP
	1477 N 2000 W, Clinton, UT 84015-8638
	(801) 773-4840
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Hailey Russell
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1477 N 2000 W, Clinton, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Hailey Russell graduated from nursing school in 2021

NPI Data:

NPI Number: 1104587864
Provider Enumeration Date: 01/05/2022
Last Update Date: 02/10/2022

Medicare PECOS Information:

PECOS PAC ID: 1153715073
Enrollment ID: I20220218000677

Medical Identifiers

Medical identifiers for Mrs Hailey Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104587864	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9771200-8900 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	9771200-4405 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tanner Memorial Clinic	4284547985	215

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 Hailey Russell allows following entities to bill medicare on her behalf.

Entity Name	Tanner Memorial Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132

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 Hailey 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 Hailey Russell, DNP, FNP Po Box 337, Layton, UT 84041-0337 Ph: (801) 773-4840	Mrs Hailey Russell, DNP, FNP 1477 N 2000 W, Clinton, UT 84015-8638 Ph: (801) 773-4840

Reviews and Comments

Nurse Practitioner Nurses in Clinton, UT

Mrs. Collette Campbell Renstrom, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1477 N 2000 W, Clinton, UT 84015 Phone: 801-774-8888
Samantha Orr, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1703 W 1950 N, Clinton, UT 84015 Phone: 801-726-9273
Brandy M Tafoya, APRN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1448 N 2000 W Ste 3, Clinton, UT 84015 Phone: 801-940-5542
Mathew Christopher Pedersen, DNP FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1748 W 1800 N, Clinton, UT 84015 Phone: 180-177-3164
Dr. Ann Maruri, DNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1477 N 2000 W, Suite C, Clinton, UT 84015 Phone: 801-774-8888 Fax: 801-825-8519
Mrs. Kelly Cross Imlay, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1857 N 1000 W, Clinton, UT 84015 Phone: 801-745-5794

Mrs Hailey Russell, DNP, FNP - Medicare Nurse Practitioner in Clinton, UT