Mrs Samara Deva Russell, APRN, NP-C in Mount Arlington, NJ

Mrs Samara Deva Russell, APRN, NP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Mount Arlington, New Jersey. Her current practice location is 400 Valley Rd Ste 105, Mount Arlington, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 770-7101.

Mrs Samara Deva Russell is licensed to practice in New Jersey (license number 26NJ0107800) 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 1356622120.

Contact Information

	Mrs Samara Deva Russell, APRN, NP-C
	400 Valley Rd Ste 105, Mount Arlington, NJ 07856-2316
	(973) 770-7101
	(973) 770-7108

Map and Direction

Provider's Profile

Full Name	Mrs Samara Deva Russell
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	400 Valley Rd Ste 105, Mount Arlington, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356622120
Provider Enumeration Date: 09/07/2011
Last Update Date: 08/04/2021

Medicare PECOS Information:

PECOS PAC ID: 4880859461
Enrollment ID: I20210909003855

Medical Identifiers

Medical identifiers for Mrs Samara Deva Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356622120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	004763 (Connecticut)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	CAPRN00529 (Rhode Island)	Secondary
364SX0106X	Clinical Nurse Specialist - Occupational Health	4763 (Connecticut)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	26NJ0107800 (New Jersey)	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. Mrs Samara Deva Russell allows following entities to bill medicare on her behalf.

Entity Name	Advocare , Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217

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 Samara Deva 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 Samara Deva Russell, APRN, NP-C 475 Kilvert St, Warwick, RI 02886-1379 Ph: (401) 447-6090	Mrs Samara Deva Russell, APRN, NP-C 400 Valley Rd Ste 105, Mount Arlington, NJ 07856-2316 Ph: (973) 770-7101

Reviews and Comments

Nurse Practitioner Nurses in Mount Arlington, NJ

Mildred Alice Mcgrath, APNC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Valley Rd, Suite 102, Mount Arlington, NJ 07856 Phone: 973-770-7899 Fax: 973-770-7840
Kathleen Mccann, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Valley Rd Ste 105, Mount Arlington, NJ 07856 Phone: 973-770-7101 Fax: 973-770-7108
Alena Rodriguez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Woodland Way, Mount Arlington, NJ 07856 Phone: 973-590-0619
Maggie Vitcavich, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Valley Rd Ste 105, Mount Arlington, NJ 07856 Phone: 973-770-7101 Fax: 973-770-7108
Danielle Barbieri, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Valley Rd Ste 105, Mount Arlington, NJ 07856 Phone: 973-770-7101 Fax: 973-770-7108
Tracy Prior, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Valley Rd Ste 102, Mount Arlington, NJ 07856 Phone: 973-770-7899

Mrs Samara Deva Russell, APRN, NP-C - Medicare Nurse Practitioner in Mount Arlington, NJ