Russell Tolman Wilcox, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rancho Cordova, California. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Permanente Medical Group Inc and his current practice location is
4029 Quarter Dome Cir, Rancho Cordova, California. You can reach out to his office (for appointments etc.) via phone at
(801) 592-7415.
Russell Tolman Wilcox is licensed to practice in California (license number 95000452) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184177065.
Provider's Profile
| Full Name | Russell Tolman Wilcox |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 9 Years |
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| Location | 4029 Quarter Dome Cir, Rancho Cordova, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Russell Tolman Wilcox graduated from nursing school in 2015
NPI Data:
- NPI Number: 1184177065
- Provider Enumeration Date: 07/27/2016
- Last Update Date: 01/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 5991084758
- Enrollment ID: I20161117002715
Medical Identifiers
Medical identifiers for Russell Tolman Wilcox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184177065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 95000452 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Permanente Medical Group Inc | 8921910225 | 8376 |
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 Tolman Wilcox allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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 Tolman Wilcox 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 Tolman Wilcox, CRNA
4029 Quarter Dome Cir,
Rancho Cordova, CA 95742-7720
Ph: (801) 592-7415 | Russell Tolman Wilcox, CRNA
4029 Quarter Dome Cir,
Rancho Cordova, CA 95742-7720
Ph: (801) 592-7415 |
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