Alexander S Russell, PA is a medicare enrolled "Physician Assistant" physician in Detroit, Michigan. He graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Henry Ford Health System and his current practice location is
2799 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 874-4696.
Alexander S Russell is licensed to practice in Michigan (license number 5601008724) 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 1659895993.
Physician's Profile
| Full Name | Alexander S Russell |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 2799 W Grand Blvd, Detroit, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alexander S Russell graduated from medical school in 2016
NPI Data:
- NPI Number: 1659895993
- Provider Enumeration Date: 07/28/2017
- Last Update Date: 07/25/2018
Medicare PECOS Information:
- PECOS PAC ID: 7012282536
- Enrollment ID: I20180904001567
Medical Identifiers
Medical identifiers for Alexander S Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659895993 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 50.005155RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 5601008724 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Henry Ford Health System | 0547178311 | 2304 |
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. Alexander S 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 |
|---|
Alexander S Russell, PA
2799 W Grand Blvd,
Detroit, MI 48202-2608
Ph: (313) 874-4696 | Alexander S Russell, PA
2799 W Grand Blvd,
Detroit, MI 48202
Ph: (313) 874-4696 |
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