Mary Russell, FNP in San Marcos, CA - Medicare Nurse Practitioner

Mary Russell, FNP is a medicare enrolled "Nurse Practitioner - Family" in San Marcos, California. Her current practice location is 1519 Clifftop Ave, San Marcos, California. You can reach out to her office (for appointments etc.) via phone at (760) 522-3941.

Mary Russell is licensed to practice in California (license number FNP 95000801) 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 1265837025.

Contact Information

	Mary Russell, FNP
	1519 Clifftop Ave, San Marcos, CA 92078-1075
	(760) 522-3941
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Russell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1519 Clifftop Ave, San Marcos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265837025
Provider Enumeration Date: 10/22/2014
Last Update Date: 10/22/2014

Medicare PECOS Information:

PECOS PAC ID: 1850725227
Enrollment ID: I20191218002571

Medical Identifiers

Medical identifiers for Mary Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265837025	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	FNP 95000801 (California)	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. Mary Russell allows following entities to bill medicare on her behalf.

Entity Name	Arch Health Partners Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649500141 PECOS PAC ID: 9931239027 Enrollment ID: O20100616000715

Entity Name	Madi Med Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861210767 PECOS PAC ID: 3971031238 Enrollment ID: O20250114002809

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. Mary 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
Mary Russell, FNP 1519 Clifftop Ave, San Marcos, CA 92078-1075 Ph: (760) 522-3941	Mary Russell, FNP 1519 Clifftop Ave, San Marcos, CA 92078-1075 Ph: (760) 522-3941

Reviews and Comments

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Mary Russell, FNP - Medicare Nurse Practitioner in San Marcos, CA