Sean-patrick Russell, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lauderhill, Florida. His current practice location is
5658 Nw 16th St, Lauderhill, Florida. You can reach out to his office (for appointments etc.) via phone at
(954) 554-0286.
Sean-patrick Russell is licensed to practice in Florida (license number APRN11019891) 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 1265054357.
Provider's Profile
Full Name | Sean-patrick Russell |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 5658 Nw 16th St, Lauderhill, Florida |
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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: 1265054357
- Provider Enumeration Date: 05/11/2020
- Last Update Date: 07/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 4486035276
- Enrollment ID: I20220726001479
Medical Identifiers
Medical identifiers for Sean-patrick Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265054357 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0200X | Registered Nurse - Critical Care Medicine | RN9436906 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APRN11019891 (Florida) | Primary |
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. Sean-patrick 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 |
Sean-patrick Russell, 5658 Nw 16th St, Lauderhill, FL 33313-5448 Ph: (954) 554-0286 | Sean-patrick Russell, 5658 Nw 16th St, Lauderhill, FL 33313-5448 Ph: (954) 554-0286 |
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