Mrs Carol D Russell, PA-C in Viera, FL - Medicare Physician Assistant

Mrs Carol D Russell, PA-C is a medicare enrolled "Physician Assistant - Medical" in Viera, Florida. Her current practice location is Space Coast Volunteers In Medicine, 2555 Judge Fran Jamieson Way, Viera, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 639-5813.

Mrs Carol D Russell is licensed to practice in Florida (license number LL861) 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 1336134865.

Contact Information

	Mrs Carol D Russell, PA-C
	Space Coast Volunteers In Medicine, 2555 Judge Fran Jamieson Way, Viera, FL 32940
	(321) 639-5813
	(321) 637-7312

Map and Direction

Provider's Profile

Full Name	Mrs Carol D Russell
Gender	Female
Speciality	Physician Assistant - Medical
Location	Space Coast Volunteers In Medicine, Viera, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336134865
Provider Enumeration Date: 09/12/2005
Last Update Date: 01/26/2024

Medicare PECOS Information:

PECOS PAC ID: 8123046315
Enrollment ID: I20051107000212

Medical Identifiers

Medical identifiers for Mrs Carol D Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336134865	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA2709 (Florida)	Secondary
363AM0700X	Physician Assistant - Medical	PA2709 (Florida)	Secondary
363AM0700X	Physician Assistant - Medical	LL861 (Florida)	Primary

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. Mrs Carol D 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
Mrs Carol D Russell, PA-C 2555 Judge Fran Jamieson Way, Viera, FL 32940-5998 Ph: (321) 639-5813	Mrs Carol D Russell, PA-C Space Coast Volunteers In Medicine, 2555 Judge Fran Jamieson Way, Viera, FL 32940 Ph: (321) 639-5813

Reviews and Comments

Physician Assistant Nurses in Viera, FL

Mrs. Jan M Mccaleb, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Veterans Way, Viera, FL 32940 Phone: 321-637-3571
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Mr. Jonathan David Jones, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Veterans Way, Viera, FL 32940 Phone: 321-637-3788
Mrs. Theresa Renee Rucker, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2900 Veterans Way, Viera, FL 32940 Phone: 321-637-3788

Mrs Carol D Russell, PA-C - Medicare Physician Assistant in Viera, FL