Meredith Russell, is a
Physical Medicine & Rehabilitation based in Wyoming, Michigan. Meredith Russell is licensed to practice in Michigan (license number 5501303341) and her current practice location is
5900 Byron Center Ave Sw, Wyoming, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 252-7200.
NPI number for Meredith Russell is 1508277336 and her current mailing address is 235 Wealthy St Se, Grand Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508277336.
Healthcare Provider's Profile
Full Name | Meredith Russell |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 5900 Byron Center Ave Sw, Wyoming, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508277336
- Provider Enumeration Date: 05/14/2014
- Last Update Date: 02/07/2025
Medical Identifiers
Medical identifiers for Meredith Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508277336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 9918 (Tennessee) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 5501303341 (Michigan) | 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. Meredith Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Meredith Russell, 235 Wealthy St Se, Grand Rapids, MI 49503-5247 Ph: (616) 840-8000 | Meredith Russell, 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 Ph: (616) 252-7200 |
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