Dr Shelley W Russell, MD in Conway, AR

Dr Shelley W Russell, MD is a medicare enrolled "Dermatology" physician in Conway, Arkansas. She went to University Of Arkansas College Of Medicine and graduated in 1999 and has 26 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Russell Dermatology Of Conway, Pllc and her current practice location is 2425 Dave Ward Dr, Suite 202, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 328-5050.

Dr Shelley W Russell is licensed to practice in Arkansas (license number E1574) 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 1457330011.

Contact Information

	Dr Shelley W Russell, MD
	2425 Dave Ward Dr, Suite 202, Conway, AR 72034-8686
	(501) 328-5050
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shelley W Russell
Gender	Female
Speciality	Dermatology
Experience	26 Years
Location	2425 Dave Ward Dr, Conway, Arkansas
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:

Dr Shelley W Russell attended and graduated from University Of Arkansas College Of Medicine in 1999

NPI Data:

NPI Number: 1457330011
Provider Enumeration Date: 01/12/2006
Last Update Date: 10/09/2025

Medicare PECOS Information:

PECOS PAC ID: 1850417791
Enrollment ID: I20101029000021

Medical Identifiers

Medical identifiers for Dr Shelley W Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457330011	NPI	-	NPPES
140525001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	E1574 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Russell Dermatology Of Conway, Pllc	2961528807	5

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 Shelley W Russell allows following entities to bill medicare on her behalf.

Entity Name	Russell Dermatology Of Conway, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639134067 PECOS PAC ID: 2961528807 Enrollment ID: O20100928001049

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 Shelley W 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 Shelley W Russell, MD 2425 Dave Ward Dr, Suite 202, Conway, AR 72034-8686 Ph: (501) 328-5050	Dr Shelley W Russell, MD 2425 Dave Ward Dr, Suite 202, Conway, AR 72034-8686 Ph: (501) 328-5050

Reviews and Comments

Dermatology Doctors in Conway, AR

Dr. Eric Brian Russell, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2425 Dave Ward Dr, Suite 202, Conway, AR 72034 Phone: 501-328-5050
Michael Blake Richardson, MD, DPT Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2425 Dave Ward Dr Ste 202, Conway, AR 72034 Phone: 501-328-5050 Fax: 502-328-2131
Dr. Thomas Floyd Hudson Iii, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9 Medical Lane, Conway, AR 72034 Phone: 501-327-8480 Fax: 501-327-2854

Dr Shelley W Russell, MD - Medicare Dermatology in Conway, AR