Sarah Fulham Russell, MD is a medicare enrolled "Internal Medicine" physician in Nantucket, Massachusetts. Her current practice location is
57 Prospect St, Nantucket, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 825-8100.
Sarah Fulham Russell is licensed to practice in Massachusetts (license number 1021381) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417241415.
Physician's Profile
Full Name | Sarah Fulham Russell |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 57 Prospect St, Nantucket, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417241415
- Provider Enumeration Date: 06/07/2011
- Last Update Date: 11/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698097889
- Enrollment ID: I20241219003286
Medical Identifiers
Medical identifiers for Sarah Fulham Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417241415 | NPI | - | NPPES |
1417241415 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 65857-20 (Wisconsin) | Secondary |
207R00000X | Internal Medicine | 1021381 (Massachusetts) | 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. Sarah Fulham Russell allows following entities to bill medicare on her behalf.
Entity Name | Nantucket Cottage Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447214622 PECOS PAC ID: 1759357601 Enrollment ID: O20050104000928 |
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Entity Name | Nantucket Physicians Organization |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568798510 PECOS PAC ID: 6608065438 Enrollment ID: O20110111000016 |
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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. Sarah Fulham 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 |
Sarah Fulham Russell, MD 57 Prospect St, Nantucket, MA 02554-2799 Ph: (508) 825-8100 | Sarah Fulham Russell, MD 57 Prospect St, Nantucket, MA 02554-2799 Ph: (508) 825-8100 |
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