Jacob Robert Russell, DO - Medicare Emergency Medicine in Surprise, AZ

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Jacob Robert Russell, DO is a medicare enrolled "Emergency Medicine" physician in Surprise, Arizona. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Group Of Arizona Professional Corporation and his current practice location is 16815 W Bell Rd, Surprise, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 833-6900.

Jacob Robert Russell is licensed to practice in Arizona (license number 008645) 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 1417318361.

Contact Information

Jacob Robert Russell, DO
16815 W Bell Rd,
Surprise, AZ 85374-2101
(602) 833-6900
Not Available

Map and Direction




Physician's Profile

Full NameJacob Robert Russell
GenderMale
SpecialityEmergency Medicine
Experience8 Years
Location16815 W Bell Rd, Surprise, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob Robert Russell attended and graduated from Michigan State University College Of Osteopathic Medicine in 2016
  NPI Data:
  • NPI Number: 1417318361
  • Provider Enumeration Date: 03/18/2016
  • Last Update Date: 07/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8123312139
  • Enrollment ID: I20201102000259

Medical Identifiers

Medical identifiers for Jacob Robert Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417318361NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 3749 (Michigan)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine 008645 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Arrowhead HospitalGlendale, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Group Of Arizona Professional Corporation135559664467

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. Jacob Robert Russell allows following entities to bill medicare on his behalf.
Entity NameEmergency Group Of Arizona Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215275433
PECOS PAC ID: 1355596644
Enrollment ID: O20130313000442
Entity NameArizona Acute Medical Services 1 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154860674
PECOS PAC ID: 6204113970
Enrollment ID: O20170505001284

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. Jacob Robert 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 AddressPractice Location Address
Jacob Robert Russell, DO
294 Summar Dr,
Jackson, TN 38301-3915

Ph: (731) 265-8220		Jacob Robert Russell, DO
16815 W Bell Rd,
Surprise, AZ 85374-2101

Ph: (602) 833-6900

Reviews and Comments


Emergency Medicine Doctors in Surprise, AZ

Dr. Marie A. Dowling, MD
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Practice Location: 14267 W Bell Rd, Surprise, AZ 85374
Phone: 623-546-5230    
Carl W Otte, D.O.
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Practice Location: 20101 N Lagos Ct, Surprise, AZ 85374
Phone: 623-546-9204    
Jennilyn Joy Puhawan Cave, LAT
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Medicare: Not Enrolled in Medicare
Practice Location: 14440 W Tierra Buena Ln, Surprise, AZ 85374
Phone: 855-546-1342    
Linh C Nguyen, M.D., M.S., CPE
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374
Phone: 623-374-7774    Fax: 623-240-1110
Mikali Nicole Frans, FNP-C
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 16575 W Waddell Rd, Surprise, AZ 85388
Phone: 623-300-9110    
Emma Risk, LAT, ATC
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14440 W Tierra Buena Ln, Surprise, AZ 85374
Phone: 855-546-1342    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.