Dr Thomas Lee Russell, DNP, CNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Middle Point, Ohio. His current practice location is
17872 Lincoln Hwy, Middle Point, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 968-2950.
Dr Thomas Lee Russell is licensed to practice in Ohio (license number APRN.CNP.022944) 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 1881186971.
Provider's Profile
| Full Name | Dr Thomas Lee Russell |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 17872 Lincoln Hwy, Middle Point, Ohio |
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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: 1881186971
- Provider Enumeration Date: 06/04/2018
- Last Update Date: 02/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254382849
- Enrollment ID: I20181105002890
Medical Identifiers
Medical identifiers for Dr Thomas Lee Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881186971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN.317795 (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | APRN.CNP.022944 (Ohio) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.022944 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.022944 (Ohio) | 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. Dr Thomas Lee Russell allows following entities to bill medicare on his behalf.
| Entity Name | Oglethorpe Of Middlepoint Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104195668
PECOS PAC ID: 7911167309
Enrollment ID: O20120613000453 |
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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. Dr Thomas Lee 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 |
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Dr Thomas Lee Russell, DNP, CNP, FNP-C
1127 Charlotte Cir,
Van Wert, OH 45891-2559
Ph: (419) 406-0067 | Dr Thomas Lee Russell, DNP, CNP, FNP-C
17872 Lincoln Hwy,
Middle Point, OH 45863
Ph: (419) 968-2950 |
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