Ms Jacquelyn Kay Russell, PA in Iliamna, AK - Medicare Physician Assistant

Ms Jacquelyn Kay Russell, PA is a medicare enrolled "Physician Assistant" in Iliamna, Alaska. She graduated from nursing school in 1997 and has 28 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Southcentral Foundation and her current practice location is 101 Airport Way, Iliamna, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 571-1818.

Ms Jacquelyn Kay Russell is licensed to practice in Alaska (license number PADA481) 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 1639156268.

Contact Information

	Ms Jacquelyn Kay Russell, PA
	101 Airport Way, Iliamna, AK 99606
	(907) 571-1818
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Jacquelyn Kay Russell
Gender	Female
Speciality	Physician Assistant
Experience	28 Years
Location	101 Airport Way, Iliamna, Alaska
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:

Ms Jacquelyn Kay Russell graduated from nursing school in 1997

NPI Data:

NPI Number: 1639156268
Provider Enumeration Date: 12/23/2005
Last Update Date: 09/06/2024

Medicare PECOS Information:

PECOS PAC ID: 4284722638
Enrollment ID: I20160316000239

Medical Identifiers

Medical identifiers for Ms Jacquelyn Kay Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639156268	NPI	-	NPPES
1639156268	Other		NPI
1639156268	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	085.004670 (Illinois)	Secondary
363A00000X	Physician Assistant	023071 (New York)	Secondary
363A00000X	Physician Assistant	PADA481 (Alaska)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alaska Native Medical Center	Anchorage, AK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southcentral Foundation	5496663627	115

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. Ms Jacquelyn Kay 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
Ms Jacquelyn Kay Russell, PA 31 Embretson Road, Iliamna, AK 99606 Ph: (907) 744-8581	Ms Jacquelyn Kay Russell, PA 101 Airport Way, Iliamna, AK 99606 Ph: (907) 571-1818

Reviews and Comments

Physician Assistant Nurses in Iliamna, AK

Ruth Singleton Alvarez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Airport Rd., Iliamna, AK 99606 Phone: 907-729-8624
Anne Elizabeth Dailey, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Airport Road, Iliamna, AK 99606 Phone: 907-729-8624 Fax: 907-729-8607
Suzanne Margaret Milette, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Airport Road, Iliamna, AK 99606 Phone: 907-729-8624

Ms Jacquelyn Kay Russell, PA - Medicare Physician Assistant in Iliamna, AK