Mrs Jastin Russell, BSN, RN-BC in Madison, AL

Mrs Jastin Russell, BSN, RN-BC is a medicare enrolled "Nurse Practitioner - Family" in Madison, Alabama. Her current practice location is 12100 County Line Rd Ste A2, Madison, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 724-7714.

Mrs Jastin Russell is licensed to practice in Alabama (license number 1-157898) 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 1689136681.

Contact Information

	Mrs Jastin Russell, BSN, RN-BC
	12100 County Line Rd Ste A2, Madison, AL 35756-2006
	(256) 724-7714
	(256) 724-7065

Map and Direction

Provider's Profile

Full Name	Mrs Jastin Russell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12100 County Line Rd Ste A2, Madison, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689136681
Provider Enumeration Date: 04/01/2019
Last Update Date: 10/17/2023

Medicare PECOS Information:

PECOS PAC ID: 8426432816
Enrollment ID: I20220902001988

Medical Identifiers

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

Identifier	Type	State	Issuer
1689136681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	1-157898 (Alabama)	Secondary
163WG0100X	Registered Nurse - Gastroenterology	1-157898 (Alabama)	Secondary
163WM0705X	Registered Nurse - Medical-surgical	1-157898 (Alabama)	Secondary
363LF0000X	Nurse Practitioner - Family	1-157898 (Alabama)	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 Jastin Russell allows following entities to bill medicare on her behalf.

Entity Name	Crestwood Physician Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154622520 PECOS PAC ID: 3476735648 Enrollment ID: O20110309000303

Entity Name	Advantage Family Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023447943 PECOS PAC ID: 7618103748 Enrollment ID: O20131120001477

Entity Name	Happi Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528580404 PECOS PAC ID: 2062756596 Enrollment ID: O20181210002397

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 Jastin 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 Jastin Russell, BSN, RN-BC 424 Lake Heather Reserve, Birmingham, AL 35242-7606 Ph: (256) 701-7188	Mrs Jastin Russell, BSN, RN-BC 12100 County Line Rd Ste A2, Madison, AL 35756-2006 Ph: (256) 724-7714

Reviews and Comments

Nurse Practitioner Nurses in Madison, AL

Krista Young, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-975-4291 Fax: 256-288-3334
Dr. Kaitlyn Wendolowski, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12100 County Line Rd Ste A2, Madison, AL 35756 Phone: 256-724-7714 Fax: 256-724-7065
Natalie R Baker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758 Phone: 256-325-4365 Fax: 256-461-0393
Chastity D Ayers, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-288-3333 Fax: 256-288-3334
Mr. Blake Hamilton Gilliam, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1230 Slaughter Rd Ste C, Madison, AL 35758 Phone: 256-325-0955
Mrs. Ruth Morris Church, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8216 Madison Blvd, Madison, AL 35758 Phone: 256-464-9991 Fax: 256-464-9994
Erin Stinnett, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7500 Highway 72 W, Madison, AL 35758 Phone: 256-964-8338

Mrs Jastin Russell, BSN, RN-BC - Medicare Nurse Practitioner in Madison, AL