Mrs Kelly Russell, CNM in Providence, RI - Medicare Certified Nurse Midwife (cnm)

Mrs Kelly Russell, CNM is a medicare enrolled "Advanced Practice Midwife" in Providence, Rhode Island. She went to University Of Colorado School Of Medicine, Denver and graduated in 2019 and has 5 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Affinity Physicians Llc. and her current practice location is 18 Imperial Pl Unit 2d, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 727-4800.

Mrs Kelly Russell is licensed to practice in * (Not Available) (license number ) 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 1154957652.

Contact Information

	Mrs Kelly Russell, CNM
	18 Imperial Pl Unit 2d, Providence, RI 02903-4642
	(401) 727-4800
	(401) 921-4800

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Russell
Gender	Female
Speciality	Certified Nurse Midwife (cnm)
Experience	5 Years
Location	18 Imperial Pl Unit 2d, Providence, Rhode Island
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 Kelly Russell attended and graduated from University Of Colorado School Of Medicine, Denver in 2019

NPI Data:

NPI Number: 1154957652
Provider Enumeration Date: 03/16/2020
Last Update Date: 07/19/2024

Medicare PECOS Information:

PECOS PAC ID: 6901237247
Enrollment ID: I20200520002550

Medical Identifiers

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

Identifier	Type	State	Issuer
1154957652	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	(* (Not Available))	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Women & Infants Hospital Of Rhode Island	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Affinity Physicians Llc.	0244413391	616

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

Entity Name	Affinity Physicians Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053

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 Kelly 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 Kelly Russell, CNM 101 Dudley St, Providence, RI 02905-2401 Ph: () -	Mrs Kelly Russell, CNM 18 Imperial Pl Unit 2d, Providence, RI 02903-4642 Ph: (401) 727-4800

Reviews and Comments

Advanced Practice Midwife Nurses in Providence, RI

Mrs. Chelsea Caroline Webb Shea, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 148 W River St Ste 8, Providence, RI 02904 Phone: 401-606-3000 Fax: 401-331-8110
Elisabeth Davies Howard, MW Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1100
Chloe Kiritz, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 148 W River St Ste 5a, Providence, RI 02904 Phone: 401-606-3000 Fax: 401-331-8110
Sylvia P Ross, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7597
Lynnette M Scolpino, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 235 Plain St, Sutie 401, Providence, RI 02905 Phone: 401-421-1710 Fax: 401-861-2164
Jennifer R. Sunderland, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1 Warren Way, Providence, RI 02905 Phone: 401-444-0530 Fax: 401-444-0423

Mrs Kelly Russell, CNM - Medicare Certified Nurse Midwife (cnm) in Providence, RI