Eddie Russell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Philadelphia, Pennsylvania. He graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Ultracare Anesthesia Partners Llc, Ultracare Anesthesia Partners Llc and his current practice location is
111 S 11th St, Ste 8490, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 955-6161.
Eddie Russell is licensed to practice in Pennsylvania (license number RN325270L) 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 1154563336.
Physician's Profile
| Full Name | Eddie Russell |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 17 Years |
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| Location | 111 S 11th St, Philadelphia, Pennsylvania |
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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:
- Eddie Russell graduated from medical school in 2008
NPI Data:
- NPI Number: 1154563336
- Provider Enumeration Date: 04/02/2009
- Last Update Date: 09/30/2015
Medicare PECOS Information:
- PECOS PAC ID: 4880743871
- Enrollment ID: I20090521000526
Medical Identifiers
Medical identifiers for Eddie Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154563336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 26NR08427000 (New Jersey) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN325270L (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ultracare Anesthesia Partners Llc | 4082920525 | 52 |
| Ultracare Anesthesia Partners Llc | 4082920525 | 52 |
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. Eddie Russell allows following entities to bill medicare on his behalf.
| Entity Name | Ultracare Anesthesia Partners Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407236110
PECOS PAC ID: 4082920525
Enrollment ID: O20170120001132 |
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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. Eddie 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 |
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Eddie Russell, CRNA
111 S 11th St, Ste 8490,
Philadelphia, PA 19107-4824
Ph: (215) 955-6161 | Eddie Russell, CRNA
111 S 11th St, Ste 8490,
Philadelphia, PA 19107-4824
Ph: (215) 955-6161 |
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