Alecia Nicole Russell, DO in Lodi, CA - Medicare Obstetrics/gynecology

Alecia Nicole Russell, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Lodi, California. She went to Michigan State University College Of Osteopathic Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice P. Gill Obstetrics And Gynecology Medical Group, Inc. and her current practice location is 999 S Fairmont Ave, Ste. 230, Lodi, California. You can reach out to her office (for appointments etc.) via phone at (209) 334-4924.

Alecia Nicole Russell is licensed to practice in California (license number 20A14816) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851650469.

Contact Information

	Alecia Nicole Russell, DO
	999 S Fairmont Ave, Ste. 230, Lodi, CA 95240-5100
	(209) 334-4924
	(209) 334-0127

Map and Direction

Physician's Profile

Full Name	Alecia Nicole Russell
Gender	Female
Speciality	Obstetrics/gynecology
Experience	12 Years
Location	999 S Fairmont Ave, Lodi, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alecia Nicole Russell attended and graduated from Michigan State University College Of Osteopathic Medicine in 2012

NPI Data:

NPI Number: 1851650469
Provider Enumeration Date: 05/16/2012
Last Update Date: 09/16/2022

Medicare PECOS Information:

PECOS PAC ID: 9436455425
Enrollment ID: I20160907000136

Medical Identifiers

Medical identifiers for Alecia Nicole Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851650469	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	20A14816 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Lodi Memorial	Lodi, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
P. Gill Obstetrics And Gynecology Medical Group, Inc.	9133019755	12

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. Alecia Nicole Russell allows following entities to bill medicare on her behalf.

Entity Name	P. Gill Obstetrics & Gynecology Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386636165 PECOS PAC ID: 9133019755 Enrollment ID: O20040317001320

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. Alecia Nicole 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
Alecia Nicole Russell, DO Po Box 1090, Lodi, CA 95241-1090 Ph: (209) 334-1800	Alecia Nicole Russell, DO 999 S Fairmont Ave, Ste. 230, Lodi, CA 95240-5100 Ph: (209) 334-4924

Reviews and Comments

Obstetrics & Gynecology Doctors in Lodi, CA

Karen Swarer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave Ste 225, Lodi, CA 95240 Phone: 209-334-3343 Fax: 209-334-1430
Manjeet K Bryson, NP RN Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 999 South Fairmont Ste 225, P Gill Obstetrics & Gynecology Medical Grp Inc, Lodi, CA 95240 Phone: 209-334-3343 Fax: 209-334-1430
Philip A Dodd, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave, Suite 200, Lodi, CA 95240 Phone: 209-334-3333 Fax: 209-369-2641
Robert Glenn Howen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave, Ste 200, Lodi, CA 95240 Phone: 209-334-3333
Leslie D Sackschewsky, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave, Suite 200, Lodi, CA 95240 Phone: 209-334-3333 Fax: 209-369-2641
Carol Lynn Nakashima, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave, Ste 200, Lodi, CA 95240 Phone: 209-334-3333 Fax: 209-369-2641
Dr. Kimberley E Fillmore, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 999 S Fairmont Ave, Ste. 230, Lodi, CA 95240 Phone: 209-334-4924 Fax: 209-334-0127

Alecia Nicole Russell, DO - Medicare Obstetrics/gynecology in Lodi, CA