Rana Wynne Russell, FNP | |
528 N Coronado Ave, Espanola, NM 87532-2790 | |
(505) 747-6939 | |
Not Available |
Full Name | Rana Wynne Russell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 24 Years |
Location | 528 N Coronado Ave, Espanola, New Mexico |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245333046 | NPI | - | NPPES |
147912305 | Medicaid | TX | |
8N3798 | Other | BLUE CROSS/BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 579441 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Newmexidoc Pa | 6204150659 | 12 |
Entity Name | Taos Professional Services,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891070777 PECOS PAC ID: 6507019924 Enrollment ID: O20130116000178 |
Entity Name | Newmexidoc Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316358989 PECOS PAC ID: 6204150659 Enrollment ID: O20150113002432 |
Mailing Address | Practice Location Address |
---|---|
Rana Wynne Russell, FNP 72 Irish Rd, Ranchos De Taos, NM 87557-8753 Ph: (830) 660-2888 | Rana Wynne Russell, FNP 528 N Coronado Ave, Espanola, NM 87532-2790 Ph: (505) 747-6939 |
Bailey Pearson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-367-0340 | |
Mr. Stephen Lynn Mason, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 N Paseo De Onate, Espanola, NM 87532 Phone: 505-747-0081 | |
Dr. Keith Bryan Haynie, DNP, RN, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 S Coronado Ave, Espanola, NM 87532 Phone: 860-788-6404 Fax: 860-398-6441 | |
Kimberly Allen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-753-7111 | |
Jonathan C Peachey, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438 | |
Leticia A Luketich Martinez, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2010 Industrial Park Rd, Espanola, NM 87532 Phone: 505-753-7218 Fax: 505-747-7396 | |
Tiffin Marie Zellers, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1308 N Orchard, Espanola, NM 87532 Phone: 505-927-0157 Fax: 855-928-4040 |