| Amanda Elizabeth Russell, | |
|
47 Fairway Pl, Selmer, TN 38375-1548 | |
| (901) 268-8401 | |
| Not Available |
| Full Name | Amanda Elizabeth Russell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 47 Fairway Pl, Selmer, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932879392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | APN0000030233 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson-madison County General Hospital | Jackson, TN | Hospital |
| Magnolia Regional Health Center | Corinth, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Tennessee Medical Group Inc | 3971781006 | 151 |
| Entity Name | West Tennessee Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053615955 PECOS PAC ID: 3971781006 Enrollment ID: O20110621000009 |
| Entity Name | Wt Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295223279 PECOS PAC ID: 1951650613 Enrollment ID: O20180814002772 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Elizabeth Russell, 47 Fairway Pl, Selmer, TN 38375-1548 Ph: (901) 268-8401 | Amanda Elizabeth Russell, 47 Fairway Pl, Selmer, TN 38375-1548 Ph: (901) 268-8401 |
Zipporah Woods, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 318 Hillcrest St, Selmer, TN 38375 Phone: 731-394-0555 | |
Matthew King, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 641 E Poplar Ave, Selmer, TN 38375 Phone: 731-645-5753 | |
Tiffany B Gray, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 E Court Ave Ste B, Selmer, TN 38375 Phone: 731-645-7932 Fax: 731-645-5195 | |
Lashon Conner, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 641 E Poplar Ave, Selmer, TN 38375 Phone: 731-645-5753 Fax: 731-645-9885 | |
Pamela Riley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 854 Mulberry Ave, Selmer, TN 38375 Phone: 731-646-1781 | |
Mrs. Ginger Maness, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1021 Mulberry Ave, Selmer, TN 38375 Phone: 731-646-1781 | |
Rhonda L Hunt, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 832 Mulberry Ave, Selmer, TN 38375 Phone: 731-434-0200 Fax: 731-434-0203 |