| Mr Brian D Russell, FNP-BC | |
|
143 Longwater Dr, Norwell, MA 02061-1683 | |
| (781) 878-5200 | |
| (781) 878-6750 |
| Full Name | Mr Brian D Russell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 143 Longwater Dr, Norwell, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992021315 | NPI | - | NPPES |
| 1523401 | Medicaid | TN | |
| P01504956 | Other | VA | RAILROAD MEDICARE |
| 1992021315 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 14835 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN2330343 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Shore Hospital | South weymouth, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Medical Associates | 7113029257 | 412 |
| Entity Name | Coastal Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932175684 PECOS PAC ID: 7113029257 Enrollment ID: O20070221000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian D Russell, FNP-BC 319 Lincoln St Apt 505, Hingham, MA 02043-1777 Ph: (865) 806-9161 | Mr Brian D Russell, FNP-BC 143 Longwater Dr, Norwell, MA 02061-1683 Ph: (781) 878-5200 |
Ms. Mary S Mazanec, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 75 Washington Street, Norwell, MA 02061 Phone: 781-878-5200 Fax: 781-878-3989 | |
Amy Pike Gianino, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13 Winter St, Norwell, MA 02061 Phone: 508-821-0770 | |
Tara Ricci, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 143 Longwater Dr, Norwell, MA 02061 Phone: 781-878-5200 | |
Laura L Morrow, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 143 Longwater Drive, Norwell, MA 02061 Phone: 781-792-4191 Fax: 781-878-6750 | |
Ms. Joanne C. Hill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 143 Longwater Dr, Norwell, MA 02061 Phone: 781-878-5200 | |
Lindsay Hoyt, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 143 Longwater Dr, Norwell, MA 02061 Phone: 781-878-5200 | |
Alyson Pisarczyk Messina, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 143 Longwater Dr, Norwell, MA 02061 Phone: 781-878-5200 |