Dr Joshua Russell, MD, MSC is a medicare enrolled "Clinic/center - Urgent Care" physician in Manhattan Beach, California. His current practice location is
3215 N Sepulveda Blvd, Manhattan Beach, California. You can reach out to his office (for appointments etc.) via phone at
(424) 295-0540.
Dr Joshua Russell is licensed to practice in California (license number A151987) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417274200.
Physician's Profile
| Full Name | Dr Joshua Russell |
|---|
| Gender | Male |
|---|
| Speciality | Clinic/center - Urgent Care |
|---|
| Location | 3215 N Sepulveda Blvd, Manhattan Beach, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1417274200
- Provider Enumeration Date: 05/03/2010
- Last Update Date: 02/23/2026
Medicare PECOS Information:
- PECOS PAC ID: 2567616840
- Enrollment ID: I20131025000099
Medical Identifiers
Medical identifiers for Dr Joshua Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417274200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | MD154397 (Oregon) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | A151987 (California) | Primary |
| 207P00000X | Emergency Medicine | MD60339182 (Washington) | Secondary |
| 207PH0002X | Emergency Medicine - Hospice And Palliative Medicine | MD60339182 (Washington) | Secondary |
| 207Q00000X | Family Medicine | PG152145 (Oregon) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207PH0002X | Emergency Medicine - Hospice And Palliative Medicine | MD154397 (Oregon) | Secondary |
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. Dr Joshua Russell allows following entities to bill medicare on his behalf.
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040220000099 |
|---|
| Entity Name | Legacy Clinics Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20050627000226 |
|---|
| Entity Name | Emergency Medicine Associates Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1962453860
PECOS PAC ID: 3870526858
Enrollment ID: O20050912000784 |
|---|
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. Dr Joshua 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 |
|---|
Dr Joshua Russell, MD, MSC
3215 N Sepulveda Blvd,
Manhattan Beach, CA 90266-2453
Ph: (424) 295-0540 | Dr Joshua Russell, MD, MSC
3215 N Sepulveda Blvd,
Manhattan Beach, CA 90266-2453
Ph: (424) 295-0540 |
Reviews and Comments