| John Russell, ARNP | |
|
12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637-0904 | |
| (813) 871-8200 | |
| (813) 357-5501 |
| Full Name | John Russell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 12470 Telecom Dr Ste 300w, Temple Terrace, Florida |
| 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 |
|---|---|---|---|
| 1770761348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN1818802 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | ARNP1818802 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shakti Narain Md Pa | 3274676606 | 2 |
| Entity Name | Shakti Narain Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073845459 PECOS PAC ID: 3274676606 Enrollment ID: O20100206000110 |
| Entity Name | Freedom Health And Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770889057 PECOS PAC ID: 0345425856 Enrollment ID: O20110427000527 |
| Entity Name | Asm Rahman Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346753225 PECOS PAC ID: 2668731993 Enrollment ID: O20180112001784 |
| Mailing Address | Practice Location Address |
|---|---|
| John Russell, ARNP 12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637-0904 Ph: (813) 871-8200 | John Russell, ARNP 12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637-0904 Ph: (813) 871-8200 |
Ofelia Maria Chou, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637 Phone: 813-871-8183 Fax: 813-871-8184 | |
Viviane L Goncalves, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13067 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 303-261-7664 | |
Ms. Tracy L Czop, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13067 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-779-6303 Fax: 888-977-1998 | |
Ashley Nichole Christie, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12662 Telecom Dr, Temple Terrace, FL 33637 Phone: 813-910-0030 Fax: 843-790-1953 | |
Shawna Lord, MS, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12662 Telecom Dr, Temple Terrace, FL 33637 Phone: 813-910-0030 | |
Mischa Nicole Tice, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 228-363-4729 | |
Amanda Parker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5205 E Fletcher Ave, Temple Terrace, FL 33617 Phone: 813-987-2911 Fax: 813-987-2853 |