Eddie Russell, CRNA is a
Nurse Anesthetist, Certified Registered physician based in Philadelphia, Pennsylvania. Eddie Russell is licensed to practice in Pennsylvania (license number RN325270L) and his current practice location is 111 S 11th St, Ste 8490, Philadelphia, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(215) 955-6161.
NPI number for Eddie Russell is 1154563336 and his current mailing address is 111 S 11th St, Ste 8490, Philadelphia, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154563336.
Physician's Profile
| Full Name | Eddie Russell |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 111 S 11th St, Philadelphia, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154563336
- Provider Enumeration Date: 04/02/2009
- Last Update Date: 09/30/2015
Medical Identifiers
Medical identifiers for Eddie Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154563336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 26NR08427000 (New Jersey) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN325270L (Pennsylvania) | Primary |
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
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
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 |
Reviews and Comments