Mr Russell Kevin Broxson Jr, FNP BC - Medicare Nurse Practitioner in Jay, FL

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Mr Russell Kevin Broxson Jr, FNP BC is a medicare enrolled "Nurse Practitioner - Family" in Jay, Florida. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Jay Hospital Inc and his current practice location is 14114 Alabama St, Jay, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 675-8000.

Mr Russell Kevin Broxson Jr is licensed to practice in Florida (license number 11031992) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295587293.

Contact Information

Mr Russell Kevin Broxson Jr, FNP BC
14114 Alabama St,
Jay, FL 32565-1219
(850) 675-8000
Not Available

Map and Direction




Provider's Profile

Full NameMr Russell Kevin Broxson Jr
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location14114 Alabama St, Jay, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Russell Kevin Broxson Jr graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1295587293
  • Provider Enumeration Date: 04/03/2024
  • Last Update Date: 04/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5698212199
  • Enrollment ID: I20241115002240

Medical Identifiers

Medical identifiers for Mr Russell Kevin Broxson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295587293NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 11031992 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jay HospitalJay, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jay Hospital Inc35774663255

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. Mr Russell Kevin Broxson Jr allows following entities to bill medicare on his behalf.
Entity NameJay Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518071562
PECOS PAC ID: 3577466325
Enrollment ID: O20040129000235

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. Mr Russell Kevin Broxson Jr 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 AddressPractice Location Address
Mr Russell Kevin Broxson Jr, FNP BC
5228 Medicine Bow St,
Milton, FL 32570-8149

Ph: (850) 449-4801		Mr Russell Kevin Broxson Jr, FNP BC
14114 Alabama St,
Jay, FL 32565-1219

Ph: (850) 675-8000

Reviews and Comments


Nurse Practitioner Nurses in Jay, FL

Mrs. Twyla Cotton, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14088 Alabama St, Jay, FL 32565
Phone: 850-675-4546    Fax: 850-675-4548
Alaina Smith Paul, DNP, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14088 Alabama St, Jay, FL 32565
Phone: 850-675-4546    
Christina Ann Blackburn, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4101 James Jernigan Rd, Jay, FL 32565
Phone: 850-781-4194    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.