Johanna Mercedez Russell, APRN in Jacksonville, FL

Johanna Mercedez Russell, APRN is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. Her current practice location is 425 N Lee St Ste 104, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 427-1250.

Johanna Mercedez Russell is licensed to practice in Florida (license number APRN11001221) 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 1205308640.

Contact Information

	Johanna Mercedez Russell, APRN
	425 N Lee St Ste 104, Jacksonville, FL 32204-1128
	(904) 427-1250
	Not Available

Map and Direction

Provider's Profile

Full Name	Johanna Mercedez Russell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	425 N Lee St Ste 104, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205308640
Provider Enumeration Date: 12/26/2018
Last Update Date: 10/02/2023

Medicare PECOS Information:

PECOS PAC ID: 2264768530
Enrollment ID: I20190724001251

Medical Identifiers

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

Identifier	Type	State	Issuer
1205308640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11001221 (Florida)	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. Johanna Mercedez Russell allows following entities to bill medicare on her behalf.

Entity Name	Cancer Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528323268 PECOS PAC ID: 9133377948 Enrollment ID: O20120920000454

Entity Name	Shands Jacksonville Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851892467 PECOS PAC ID: 2365456258 Enrollment ID: O20180302000276

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. Johanna Mercedez 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
Johanna Mercedez Russell, APRN 425 N Lee St Ste 104, Jacksonville, FL 32204-1128 Ph: (904) 427-1250	Johanna Mercedez Russell, APRN 425 N Lee St Ste 104, Jacksonville, FL 32204-1128 Ph: (904) 427-1250

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, FL

Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844
Jennifer Salenga Arguilla, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216 Phone: 904-493-3390 Fax: 904-493-3395
Jessica Pelkowski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832
Danielle Harper Key, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080
Mr. Jeffrey Ludan Vongjesda, M.S., APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3728 Philips Hwy Ste 34, Jacksonville, FL 32207 Phone: 904-399-2766 Fax: 904-549-8300

Johanna Mercedez Russell, APRN - Medicare Nurse Practitioner in Jacksonville, FL