| Karan Dawn Russell, APRN | |
|
11400 158th Rd, Mayetta, KS 66509-8866 | |
| (785) 966-8200 | |
| (785) 966-8393 |
| Full Name | Karan Dawn Russell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 11400 158th Rd, Mayetta, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932524261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 53-79412-092 (Kansas) | Primary |
| 163W00000X | Registered Nurse | 77671 (Kansas) | Secondary |
| Entity Name | Prairie Band Potawatomi Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266410 PECOS PAC ID: 7719921907 Enrollment ID: O20050617000992 |
| Mailing Address | Practice Location Address |
|---|---|
| Karan Dawn Russell, APRN 11400 158th Rd, Mayetta, KS 66509-8866 Ph: (785) 966-8200 | Karan Dawn Russell, APRN 11400 158th Rd, Mayetta, KS 66509-8866 Ph: (785) 966-8200 |
Abra Friess, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11400 158th Rd, Mayetta, KS 66509 Phone: 785-966-8200 Fax: 785-966-8396 |
Nola Ahlquist-turner, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11400 158th Rd, Mayetta, KS 66509 Phone: 785-966-8228 Fax: 785-966-8393 |
Nicholas J Eilert, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11400 158th Rd, Mayetta, KS 66509 Phone: 785-966-8200 Fax: 785-966-8396 |