| Evan Russell, NP | |
|
780 Albany St, Boston, MA 02118-2524 | |
| (857) 654-1000 | |
| Not Available |
| Full Name | Evan Russell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 780 Albany St, Boston, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639626898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN2306774 (Massachusetts) | Primary |
| 163W00000X | Registered Nurse | RN2306774 (Massachusetts) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brigham And Women's Hospital | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brigham And Womens Physicians Organization Inc | 3870405988 | 2931 |
| 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 | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| 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 |
Kristen Cahill, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Washington St, Boston, MA 02111 Phone: 508-685-8452 |
Ms. Anna Roglieri, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 |
Mrs. Blake Rainie Slack, CNM, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Founders 454, Massachusetts General Hospital, Boston, MA 02114 Phone: 617-726-2033 |
Mrs. Patricia Noreen Finneran, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Parkman St, Wac 440, Boston, MA 02114 Phone: 617-643-4709 |
Mr. Courtney Sullivan Fratto, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Hunnewell Building 322, Boston, MA 02115 Phone: 857-218-4085 |
Ms. Kelly Elisha Trecartin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Bigalow 852 F, Boston, MA 02114 Phone: 617-726-7400 Fax: 617-726-4149 |
Mrs. Melissa Ashley Ziogas, APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Brookline Ave, Boston, MA 02215 Phone: 617-421-1000 |