Tanya Russell, FNP in Lubbock, TX - Medicare Nurse Practitioner

Tanya Russell, FNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Lubbock, Texas. Her current practice location is 4515 Marsha Sharp Fwy, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 744-7223.

Tanya Russell is licensed to practice in Texas (license number AP122632) 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 1225452600.

Contact Information

	Tanya Russell, FNP
	4515 Marsha Sharp Fwy, Lubbock, TX 79407
	(806) 744-7223
	(806) 740-3325

Map and Direction

Provider's Profile

Full Name	Tanya Russell
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	4515 Marsha Sharp Fwy, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225452600
Provider Enumeration Date: 02/06/2014
Last Update Date: 03/26/2024

Medicare PECOS Information:

PECOS PAC ID: 9436464823
Enrollment ID: I20150813011397

Medical Identifiers

Medical identifiers for Tanya Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225452600	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	735250 (Texas)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	AP122632 (Texas)	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. Tanya Russell allows following entities to bill medicare on her behalf.

Entity Name	Grace Clinic Of Lubbock
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912953357 PECOS PAC ID: 5597768101 Enrollment ID: O20060822000256

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. Tanya 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
Tanya Russell, FNP 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 Ph: (806) 744-7223	Tanya Russell, FNP 4515 Marsha Sharp Fwy, Lubbock, TX 79407 Ph: (806) 744-7223

Reviews and Comments

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Tanya Russell, FNP - Medicare Nurse Practitioner in Lubbock, TX