John Russell, MD is a medicare enrolled "Urology" physician in Houlton, Maine. His current practice location is
22 Hartford St # Sr, Houlton, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 532-4068.
John Russell is licensed to practice in Maine (license number MD20256) 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 1720013204.
Physician's Profile
| Full Name | John Russell |
|---|
| Gender | Male |
|---|
| Speciality | Urology |
|---|
| Location | 22 Hartford St # Sr, Houlton, Maine |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1720013204
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 05/16/2017
Medicare PECOS Information:
- PECOS PAC ID: 9436044633
- Enrollment ID: I20141023000653
Medical Identifiers
Medical identifiers for John Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720013204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | MD00027077 (Washington) | Secondary |
| 208800000X | Urology | MD20256 (Maine) | Primary |
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. John Russell allows following entities to bill medicare on his behalf.
| Entity Name | Houlton Regional Hospital |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1386804268
PECOS PAC ID: 0042127946
Enrollment ID: O20041123000733 |
|---|
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. John 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 |
|---|
John Russell, MD
1519 3rd St Se Ste 210,
Puyallup, WA 98372-3742
Ph: () - | John Russell, MD
22 Hartford St # Sr,
Houlton, ME 04730-1844
Ph: (207) 532-4068 |
Reviews and Comments