Mrs Katherine Y Russell, CRNA in Bingham Farms, MI - Medicare Nurse Anesthetist, Certified Registered

Mrs Katherine Y Russell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bingham Farms, Michigan. Her current practice location is 30200 Telegraph Rd, Suite 220, Bingham Farms, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 258-5058.

Mrs Katherine Y Russell is licensed to practice in Michigan (license number 4704185467) 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 1629036017.

Contact Information

	Mrs Katherine Y Russell, CRNA
	30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502
	(248) 258-5058
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Katherine Y Russell
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	30200 Telegraph Rd, Bingham Farms, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629036017
Provider Enumeration Date: 05/03/2006
Last Update Date: 09/06/2017

Medicare PECOS Information:

PECOS PAC ID: 9032141817
Enrollment ID: I20050831000850

Medical Identifiers

Medical identifiers for Mrs Katherine Y Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629036017	NPI	-	NPPES
104831330	Medicaid	MI
N78650084	Other	MI	MEDICARE
N47230634	Other	MI	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704185467 (Michigan)	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. Mrs Katherine Y Russell allows following entities to bill medicare on her behalf.

Entity Name	Northstar Anesthesia Of Michigan Ii Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437268026 PECOS PAC ID: 7911895164 Enrollment ID: O20040309000625

Entity Name	Matrix Anesthesia Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386922268 PECOS PAC ID: 9830360544 Enrollment ID: O20110928000671

Entity Name	Prestige Anesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689445959 PECOS PAC ID: 2668818329 Enrollment ID: O20240315003067

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. Mrs Katherine Y 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
Mrs Katherine Y Russell, CRNA 28129 Brookhill St, Farmington Hills, MI 48334-5119 Ph: () -	Mrs Katherine Y Russell, CRNA 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 Ph: (248) 258-5058

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Bingham Farms, MI

Michele Burke, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058
Beth Crofut, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058
Paul Santoro, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058
Philip Biland, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058
Timothy Marx, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058
Julie Staczek-marx, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058
Michael Bonds, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058

Mrs Katherine Y Russell, CRNA - Medicare Nurse Anesthetist, Certified Registered in Bingham Farms, MI