| Mary Eileen Kumah Russell, ACNP | |
|
1650 Market St Ste 3600, Philadelphia, PA 19103-7334 | |
| (855) 212-2273 | |
| (629) 240-6003 |
| Full Name | Mary Eileen Kumah Russell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 1650 Market St Ste 3600, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417518747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 228209 (Arizona) | Primary |
| Entity Name | Monogram Health Professional Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952917122 PECOS PAC ID: 4880004183 Enrollment ID: O20210208002193 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Eileen Kumah Russell, ACNP 5410 Maryland Way Ste 400, Ste. A, Brentwood, TN 37027-8087 Ph: (855) 212-2273 | Mary Eileen Kumah Russell, ACNP 1650 Market St Ste 3600, Philadelphia, PA 19103-7334 Ph: (855) 212-2273 |
Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454 |
Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032 |
Liza Thomas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Boulevard, West Pavilion 3rd Floor, Philadelphia, PA 19104 Phone: 215-662-2891 |
Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957 |
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340 |
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700 |
Ling Fan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304 |