Sandra Allison Russell, NP-C is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in New Albany, Mississippi. Her current practice location is
303 J H Phillips Ln, New Albany, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 539-0233.
Sandra Allison Russell is licensed to practice in Mississippi (license number AG0916010) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134671126.
Provider's Profile
Full Name | Sandra Allison Russell |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Adult Health |
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Location | 303 J H Phillips Ln, New Albany, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134671126
- Provider Enumeration Date: 10/26/2016
- Last Update Date: 10/26/2016
Medicare PECOS Information:
- PECOS PAC ID: 5496163388
- Enrollment ID: I20210413003039
Medical Identifiers
Medical identifiers for Sandra Allison Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134671126 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SA2200X | Clinical Nurse Specialist - Adult Health | AG0916010 (Mississippi) | 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. Sandra Allison Russell allows following entities to bill medicare on her behalf.
Entity Name | North Mississippi Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541 |
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Entity Name | Truhealth, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063843951 PECOS PAC ID: 2163653478 Enrollment ID: O20200923002569 |
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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. Sandra Allison Russell 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 |
Sandra Allison Russell, NP-C 303 J H Phillips Ln, New Albany, MS 38652-7012 Ph: (662) 539-0233 | Sandra Allison Russell, NP-C 303 J H Phillips Ln, New Albany, MS 38652-7012 Ph: (662) 539-0233 |
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