Russell E Little, APN is a medicare enrolled "Nurse Practitioner - Family" in Rutherford, Tennessee. His current practice location is
104 E Main St, Rutherford, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 665-7741.
Russell E Little is licensed to practice in Tennessee (license number 92256) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962456061.
Provider's Profile
| Full Name | Russell E Little |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 104 E Main St, Rutherford, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962456061
- Provider Enumeration Date: 05/22/2006
- Last Update Date: 03/18/2015
Medicare PECOS Information:
- PECOS PAC ID: 5890773477
- Enrollment ID: I20040709001199
Medical Identifiers
Medical identifiers for Russell E Little such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962456061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 92256 (Tennessee) | 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. Russell E Little allows following entities to bill medicare on his behalf.
| Entity Name | The Rutherford Medical Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972772242
PECOS PAC ID: 2668550211
Enrollment ID: O20080422000712 |
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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. Russell E Little 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 |
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Russell E Little, APN
Po Box 370,
Rutherford, TN 38369-0370
Ph: (731) 665-7741 | Russell E Little, APN
104 E Main St,
Rutherford, TN 38369-9711
Ph: (731) 665-7741 |
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