Mr Jeffrey Alan Russell, PT, MS, is a
Physical Therapist based in Winter Park, Colorado. Mr Jeffrey Alan Russell is licensed to practice in Colorado (license number 7458) and his current practice location is
116 Trestle Drive, Winter Park, Colorado. He can be reached at his office (for appointments etc.) via phone at
(970) 531-1582.
NPI number for Mr Jeffrey Alan Russell is 1053497065 and his current mailing address is Po Box 743, Winter Park, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053497065.
Healthcare Provider's Profile
Full Name | Mr Jeffrey Alan Russell |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 116 Trestle Drive, Winter Park, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053497065
- Provider Enumeration Date: 10/31/2006
- Last Update Date: 07/22/2021
Medical Identifiers
Medical identifiers for Mr Jeffrey Alan Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053497065 | NPI | - | NPPES |
68606770 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 7458 (Colorado) | 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. Mr Jeffrey Alan 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 |
Mr Jeffrey Alan Russell, PT, MS, Po Box 743, Winter Park, CO 80482-0743 Ph: (970) 531-1582 | Mr Jeffrey Alan Russell, PT, MS, 116 Trestle Drive, Winter Park, CO 80482-8048 Ph: (970) 531-1582 |
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