Miss Imelda Tividad Russell, CRNP in Riverdale, MD

Miss Imelda Tividad Russell, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Riverdale, Maryland. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Imran H Chowdhury Md Pa, Imran H Chowdhury Md Pa and her current practice location is 6510 Kenilworth Ave Ste 2500, Riverdale, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 997-1907.

Miss Imelda Tividad Russell is licensed to practice in Maryland (license number AC000309) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528163540.

Contact Information

	Miss Imelda Tividad Russell, CRNP
	6510 Kenilworth Ave Ste 2500, Riverdale, MD 20737-1346
	(410) 997-1907
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Imelda Tividad Russell
Gender	Female
Speciality	Nurse Practitioner
Experience	25 Years
Location	6510 Kenilworth Ave Ste 2500, Riverdale, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Imelda Tividad Russell graduated from nursing school in 1999

NPI Data:

NPI Number: 1528163540
Provider Enumeration Date: 09/14/2006
Last Update Date: 10/01/2018

Medicare PECOS Information:

PECOS PAC ID: 3678572492
Enrollment ID: I20061205000415

Medical Identifiers

Medical identifiers for Miss Imelda Tividad Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528163540	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	AC000309 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Healthcare White Oak Medical Center	Silver spring, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Imran H Chowdhury Md Pa	3274554126	10
Imran H Chowdhury Md Pa	3274554126	10

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. Miss Imelda Tividad Russell allows following entities to bill medicare on her behalf.

Entity Name	Imran H Chowdhury Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699728089 PECOS PAC ID: 3274554126 Enrollment ID: O20051213000791

Entity Name	Premier Health Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285017822 PECOS PAC ID: 7618285842 Enrollment ID: O20151008000494

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. Miss Imelda Tividad 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
Miss Imelda Tividad Russell, CRNP 6510 Kenilworth Ave Ste 2500, Riverdale, MD 20737-1346 Ph: (109) 971-9074	Miss Imelda Tividad Russell, CRNP 6510 Kenilworth Ave Ste 2500, Riverdale, MD 20737-1346 Ph: (410) 997-1907

Reviews and Comments

Nurse Practitioner Nurses in Riverdale, MD

Saritha Sudharsun, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6516 Rosalie Ln, Riverdale, MD 20737 Phone: 240-367-3759
Marian Kolb Jones, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5711 Sarvis Ave, Suite 200, Riverdale, MD 20737 Phone: 301-277-8100 Fax: 301-277-0668
Binnur Genc, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6510 Kenilworth Ave Ste 2500, Riverdale, MD 20737 Phone: 410-997-1907
Michelle Richwine, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6103 Baltimore Ave, Riverdale, MD 20737 Phone: 301-277-2779
Bosede M Adeleye, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6801 Kenilworth Ave Ste 300-s2, Riverdale, MD 20737 Phone: 301-512-9449 Fax: 301-798-6260
Maire Yasin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6502 Kenilworth Ave, Riverdale, MD 20737 Phone: 301-927-0088

Miss Imelda Tividad Russell, CRNP - Medicare Nurse Practitioner in Riverdale, MD