Tyler William Russell, CRNA is a medicare enrolled "Anesthesiology" in Indianapolis, Indiana. His current practice location is
1701 N Senate Blvd, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 577-4200.
Tyler William Russell is licensed to practice in Indiana (license number 28211638A) 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 1447889548.
Provider's Profile
| Full Name | Tyler William Russell |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1701 N Senate Blvd, Indianapolis, Indiana |
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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:
- Tyler William Russell attended and graduated from in
NPI Data:
- NPI Number: 1447889548
- Provider Enumeration Date: 04/02/2020
- Last Update Date: 10/19/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tyler William Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447889548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 28211638A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 202206135CRNA (Oregon) | Secondary |
| 207L00000X | Anesthesiology | 28211638A (Indiana) | 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. Tyler William 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 |
|---|
Tyler William Russell, CRNA
250 N Shadeland Ave,
Indianapolis, IN 46219-4959
Ph: () - | Tyler William Russell, CRNA
1701 N Senate Blvd,
Indianapolis, IN 46202-1239
Ph: (317) 577-4200 |
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