Vincent Robert Russell, PA-C in Newark, DE - Medicare Physician Assistant

Vincent Robert Russell, PA-C is a medicare enrolled "Physician Assistant" in Newark, Delaware. His current practice location is 4755 Ogletown Stanton Rd, Newark, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 733-1848.

Vincent Robert Russell is licensed to practice in Delaware (license number C5-0001166) 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 1811416597.

Contact Information

	Vincent Robert Russell, PA-C
	4755 Ogletown Stanton Rd, Newark, DE 19718-2200
	(302) 733-1848
	(302) 733-1633

Map and Direction

Provider's Profile

Full Name	Vincent Robert Russell
Gender	Male
Speciality	Physician Assistant
Location	4755 Ogletown Stanton Rd, Newark, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811416597
Provider Enumeration Date: 09/14/2017
Last Update Date: 09/14/2017

Medicare PECOS Information:

PECOS PAC ID: 6305112962
Enrollment ID: I20220804001536

Medical Identifiers

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

Identifier	Type	State	Issuer
1811416597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	C5-0001166 (Delaware)	Secondary
363AS0400X	Physician Assistant - Surgical	C5-0001166 (Delaware)	Secondary
363A00000X	Physician Assistant	C5-0001166 (Delaware)	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. Vincent Robert 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
Vincent Robert Russell, PA-C 504 Friends Way, Boothwyn, PA 19061 Ph: (757) 619-7016	Vincent Robert Russell, PA-C 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 Ph: (302) 733-1848

Reviews and Comments

Physician Assistant Nurses in Newark, DE

Alicia Renee Edelblute, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 610-406-7662
Michaela T. Riordan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4755 Ogletown Stanton Rd Fl 3, Newark, DE 19718 Phone: 302-733-3475 Fax: 302-325-3496
Carly Michele Porter, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-733-6900
Mr. John Patrick Ranonis Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4735 Ogletown Stanton Rd, Map Ii, Ste 2121, Newark, DE 19713 Phone: 302-733-4500
Leia Lavoie Collins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4735 Ogletown- Stanton Rd Map 2 Suite 1208, Newark, DE 19713 Phone: 302-623-4055
Christine M. Koenigbauer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Micu, 3rd Floor, Rm 3e46, Newark, DE 19718 Phone: 302-733-3475
Christos James Arhontakis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718 Phone: 302-623-0188 Fax: 302-733-5640

Vincent Robert Russell, PA-C - Medicare Physician Assistant in Newark, DE