Evan Russell, NP in Boston, MA - Medicare Nurse Practitioner

Evan Russell, NP is a medicare enrolled "Nurse Practitioner" in Boston, Massachusetts. His current practice location is 780 Albany St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (857) 654-1000.

Evan Russell is licensed to practice in Massachusetts (license number RN2306774) 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 1639626898.

Contact Information

	Evan Russell, NP
	780 Albany St, Boston, MA 02118-2524
	(857) 654-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Evan Russell
Gender	Male
Speciality	Nurse Practitioner
Location	780 Albany St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639626898
Provider Enumeration Date: 09/06/2016
Last Update Date: 08/11/2017

Medicare PECOS Information:

PECOS PAC ID: 6709152838
Enrollment ID: I20171018000068

Medical Identifiers

Medical identifiers for Evan Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639626898	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN2306774 (Massachusetts)	Secondary
363L00000X	Nurse Practitioner	RN2306774 (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. Evan Russell allows following entities to bill medicare on his behalf.

Entity Name	Dimock Community Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588719488 PECOS PAC ID: 7012810492 Enrollment ID: O20040202000242

Entity Name	Dimock Community Services Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326193269 PECOS PAC ID: 4385677038 Enrollment ID: O20050914000391

Entity Name	Boston Health Care For The Homeless Program, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033157771 PECOS PAC ID: 2668475419 Enrollment ID: O20110527000309

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. Evan 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
Evan Russell, NP 14 Remington St, Apt 101, Cambridge, MA 02138-5208 Ph: (603) 819-9552	Evan Russell, NP 780 Albany St, Boston, MA 02118-2524 Ph: (857) 654-1000

Reviews and Comments

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Mrs. Melissa Ashley Ziogas, APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Brookline Ave, Boston, MA 02215 Phone: 617-421-1000
Jamie Marie Allen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-724-4410
Tyler Breck Martin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 Albany St, Shapiro 3, Suite A, Boston, MA 02118 Phone: 617-414-4886 Fax: 617-414-3617

Evan Russell, NP - Medicare Nurse Practitioner in Boston, MA