Mrs Stephanie Ann Russell, RN, LMT is a
Massage Therapist based in Mannford, Oklahoma. Mrs Stephanie Ann Russell is licensed to practice in Oklahoma (license number 190284-0) and her current practice location is
35266 W Hwy 33, Mannford, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 330-3835.
NPI number for Mrs Stephanie Ann Russell is 1790425551 and her current mailing address is Po Box 1851, Mannford, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790425551.
Provider's Profile
Full Name | Mrs Stephanie Ann Russell |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 35266 W Hwy 33, Mannford, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790425551
- Provider Enumeration Date: 03/30/2022
- Last Update Date: 03/30/2022
Medical Identifiers
Medical identifiers for Mrs Stephanie Ann Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790425551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | R132210 (Oklahoma) | Secondary |
225700000X | Massage Therapist | 190284-0 (Oklahoma) | 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. Mrs Stephanie Ann Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Stephanie Ann Russell, RN, LMT Po Box 1851, Mannford, OK 74044-1851 Ph: (918) 330-3835 | Mrs Stephanie Ann Russell, RN, LMT 35266 W Hwy 33, Mannford, OK 74044 Ph: (918) 330-3835 |
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