Tyler William Russell, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Indianapolis, IN

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Tyler William Russell, CRNA is a medicare enrolled "Anesthesiology" in Indianapolis, Indiana. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Saint Joseph Regional Medical Center-south Bend Campus Inc, Jebs Anesthesia Consultants, Llc, Us Anesthesia Partners Of Colorado Inc and 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.

Contact Information

Tyler William Russell, CRNA
1701 N Senate Blvd,
Indianapolis, IN 46202-1239
(317) 577-4200
(317) 577-9503

Map and Direction




Provider's Profile

Full NameTyler William Russell
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience4 Years
Location1701 N Senate Blvd, Indianapolis, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tyler William Russell graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1447889548
  • Provider Enumeration Date: 04/02/2020
  • Last Update Date: 10/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8820411333
  • Enrollment ID: I20200630002684

Medical Identifiers

Medical identifiers for Tyler William Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447889548NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 28211638A (Indiana)Secondary
367500000XNurse Anesthetist, Certified Registered 202206135CRNA (Oregon)Secondary
207L00000XAnesthesiology 28211638A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mary Corwin Med Ctr, Centura HealthPueblo, COHospital
Saint Joseph Regional Medical CenterMishawaka, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Joseph Regional Medical Center-south Bend Campus Inc347645179077
Jebs Anesthesia Consultants, Llc448604664630
Us Anesthesia Partners Of Colorado Inc6002072055570

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. Tyler William Russell allows following entities to bill medicare on his behalf.
Entity NameBeacon Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033161617
PECOS PAC ID: 1254243306
Enrollment ID: O20031105000657
Entity NameSaint Joseph Regional Medical Center-south Bend Campus Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841245594
PECOS PAC ID: 3476451790
Enrollment ID: O20031223000724
Entity NameIu Anesthesiology Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684407
PECOS PAC ID: 5395730303
Enrollment ID: O20040419001228
Entity NameAms Northern Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427619840
PECOS PAC ID: 8022444306
Enrollment ID: O20200205000244
Entity NameJebs Anesthesia Consultants, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790447761
PECOS PAC ID: 4486046646
Enrollment ID: O20220120000233

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 AddressPractice 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

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.