Jacob D Russell, DC - Medicare Chiropractor in Ewa Beach, HI

Jacob D Russell, DC is a medicare enrolled "Chiropractor" provider in Ewa Beach, Hawaii. He went to New York Chiropractic College and graduated in 2022 and has 4 years of diverse experience with area of expertise as Chiropractic. His current practice location is 91-1001 Kaimalie St # 106, Ewa Beach, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 774-7817.

Jacob D Russell is licensed to practice in Hawaii (license number 1658) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1801511019.

Contact Information

Jacob D Russell, DC
91-1001 Kaimalie St # 106,
Ewa Beach, HI 96706-6247
(808) 774-7817
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacob D Russell
GenderMale
SpecialityChiropractic
Experience4 Years
Location91-1001 Kaimalie St # 106, Ewa Beach, Hawaii
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob D Russell attended and graduated from New York Chiropractic College in 2022
  NPI Data:
  • NPI Number: 1801511019
  • Provider Enumeration Date: 10/10/2022
  • Last Update Date: 04/28/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1759757131
  • Enrollment ID: I20260515002277

Medical Identifiers

Medical identifiers for Jacob D Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801511019NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 1658 (Hawaii)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. Jacob D 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
Jacob D Russell, DC
91-1001 Kaimalie St # 106,
Ewa Beach, HI 96706-6247

Ph: (808) 774-7817
Jacob D Russell, DC
91-1001 Kaimalie St # 106,
Ewa Beach, HI 96706-6247

Ph: (808) 774-7817

Reviews and Comments


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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.