Ms Debora L Russ, NP | |
309 Page Ave, Jackson, MI 49201-2419 | |
(517) 787-1234 | |
Not Available |
Full Name | Ms Debora L Russ |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 309 Page Ave, Jackson, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376781948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704120666 (Michigan) | Primary |
Entity Name | Iha Health Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Entity Name | W.a. Foote Memorial Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629000708 PECOS PAC ID: 0244136067 Enrollment ID: O20040612000395 |
Entity Name | Pulmonary Clinics Of Southern Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992818207 PECOS PAC ID: 4284681784 Enrollment ID: O20050406001085 |
Mailing Address | Practice Location Address |
---|---|
Ms Debora L Russ, NP 24 Frank Lloyd Wright Dr, Po Box 0446 - Lobby J, Ann Arbor, MI 48105-9484 Ph: (734) 747-6766 | Ms Debora L Russ, NP 309 Page Ave, Jackson, MI 49201-2419 Ph: (517) 787-1234 |
Deanna Marie Tregoning, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 Page Ave, Jackson, MI 49201 Phone: 517-787-1234 | |
Chelsea Marie Schaefer, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 E Michigan Ave Ste 300, Jackson, MI 49201 Phone: 517-205-2143 | |
Sarah Kay Kilponen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 E Michigan Ave, Jackson, MI 49201 Phone: 517-205-8930 | |
Kamelia Reinhart, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 E Michigan Ave Ste 240, Jackson, MI 49201 Phone: 517-205-1591 | |
Lauren Audrey Nemer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 505 N Jackson St Fl 1, Jackson, MI 49201 Phone: 262-312-4593 | |
Ms. Carol Ann Carney, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 142 N Mechanic St, Jackson, MI 49201 Phone: 517-879-1007 Fax: 888-828-8679 | |
Mrs. Sandra Kay Raby, GNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 E Michigan Ave Ste 102, Jackson, MI 49201 Phone: 517-205-1731 Fax: 517-205-7649 |