| Alexandra Paige Russell, | |
|
100 N Academy Ave, Danville, PA 17822-0001 | |
| (570) 271-6211 | |
| Not Available |
| Full Name | Alexandra Paige Russell |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 100 N Academy Ave, Danville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538851902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN696024 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN696024 (Pennsylvania) | Primary |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Geisinger-hm Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Paige Russell, 178 Rhoades Hill Rd, Danville, PA 17821-9327 Ph: () - | Alexandra Paige Russell, 100 N Academy Ave, Danville, PA 17822-0001 Ph: (570) 271-6211 |
Mr. Bernard J. Gilligan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 | |
Mr. Thomas G. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 | |
Matthew Payne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Ms. Marianne E. Pavis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 | |
Ms. Mary M. Podgurski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 | |
Mr. Daniel C. Pace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 Fax: 570-271-6762 | |
Stacey Vernon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 N Aademy Ave, Danville, PA 17822 Phone: 570-271-6621 Fax: 570-271-6762 |