| Jon Michael Russell, | |
|
5123 4th Avenue Cir E, Bradenton, FL 34208-5620 | |
| (941) 744-5510 | |
| Not Available |
| Full Name | Jon Michael Russell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 5123 4th Avenue Cir E, Bradenton, 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 |
|---|---|---|---|
| 1942998513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 9457376 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | 11026893 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Home Care | Tampa, FL | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cooper Family Medical Pllc | 9931171782 | 16 |
| Entity Name | Cooper Family Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871513192 PECOS PAC ID: 9931171782 Enrollment ID: O20040811000883 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Michael Russell, 5123 4th Avenue Cir E, Bradenton, FL 34208-5620 Ph: (941) 744-5510 | Jon Michael Russell, 5123 4th Avenue Cir E, Bradenton, FL 34208-5620 Ph: (941) 744-5510 |
Devon Buck, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 316 Manatee Ave W, Bradenton, FL 34205 Phone: 941-748-2277 Fax: 941-748-1958 | |
Isabella A Biringer, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3904 Cortez Rd W, Bradenton, FL 34210 Phone: 941-345-1943 Fax: 941-345-1944 | |
Jennifer Ann Moss, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Riverfront Blvd Ste 700, Bradenton, FL 34205 Phone: 941-748-2417 | |
Dana Hamtini, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 919 53rd Ave E, Bradenton, FL 34203 Phone: 941-751-8100 | |
Karen M Bethune, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 59th St W, Blake Park Ste B, Bradenton, FL 34209 Phone: 941-792-4993 Fax: 941-795-2905 | |
Jennifer C Eziefuoh, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8610 State Road 70 E, Bradenton, FL 34202 Phone: 941-242-1929 Fax: 941-242-5116 | |
Tanasia Chicole Thomas, MPH, MSN, APRN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7210 Manatee Ave W # 1287, Bradenton, FL 34209 Phone: 941-580-0213 Fax: 941-580-0213 |