John Calvin Russell, PA in Grand Island, NE - Medicare Physician Assistant

John Calvin Russell, PA is a medicare enrolled "Physician Assistant" in Grand Island, Nebraska. His current practice location is 2201 N Broadwell Ave, Grand Island, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 382-3660.

John Calvin Russell is licensed to practice in Nebraska (license number 815) 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 1275584070.

Contact Information

	John Calvin Russell, PA
	2201 N Broadwell Ave, Grand Island, NE 68803-2153
	(308) 382-3660
	(308) 395-3214

Map and Direction

Provider's Profile

Full Name	John Calvin Russell
Gender	Male
Speciality	Physician Assistant
Location	2201 N Broadwell Ave, Grand Island, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275584070
Provider Enumeration Date: 05/15/2006
Last Update Date: 04/25/2017

Medicare PECOS Information:

PECOS PAC ID: 2264576552
Enrollment ID: I20170921002189

Medical Identifiers

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

Identifier	Type	State	Issuer
1275584070	NPI	-	NPPES
47078557539	Medicaid	NE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	815 (Nebraska)	Primary

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. John Calvin 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
John Calvin Russell, PA 2201 N Broadwell Ave, Grand Island, NE 68803-2153 Ph: (308) 382-3660	John Calvin Russell, PA 2201 N Broadwell Ave, Grand Island, NE 68803-2153 Ph: (308) 382-3660

Reviews and Comments

Physician Assistant Nurses in Grand Island, NE

Keri Anania, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 112 W 2nd St Ste 3, Grand Island, NE 68801 Phone: 308-390-2663 Fax: 308-365-1315
Laura A Fox, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 418 N Webb Rd, Grand Island, NE 68803 Phone: 308-384-9300 Fax: 308-384-4542
Mr. Richard Charles Treadway Sr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2201 N Broadwell Ave, Nwivahcs, Grand Island, NE 68803 Phone: 308-382-3660
Mrs. Chelsie N. Doane, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3515 Richmond Cir, Grand Island, NE 68803 Phone: 308-381-8636 Fax: 308-381-8622
Holly Nichole Solt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-1100
Sara G Fill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2116 W Faidley Ave, Grand Island, NE 68803 Phone: 308-398-5560 Fax: 308-398-5306
Jason R Hadenfeldt, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 620 N Diers Ave Ste 200, Grand Island, NE 68803 Phone: 308-384-5400 Fax: 308-384-5201

John Calvin Russell, PA - Medicare Physician Assistant in Grand Island, NE