Russell Pearl, PA C is a medicare enrolled "Emergency Medicine" in Springfield, Oregon. He graduated from nursing school in 1999 and has 27 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice University Of Pittsburgh Physicians and his current practice location is
1460 G St, Springfield, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 726-4510.
Russell Pearl is licensed to practice in Washington (license number PA10005135) 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 1962559567.
Provider's Profile
| Full Name | Russell Pearl |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 27 Years |
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| Location | 1460 G St, Springfield, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Russell Pearl graduated from nursing school in 1999
NPI Data:
- NPI Number: 1962559567
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 05/21/2008
Medicare PECOS Information:
- PECOS PAC ID: 1052313038
- Enrollment ID: I20120823000661
Medical Identifiers
Medical identifiers for Russell Pearl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962559567 | NPI | - | NPPES |
| 8471328 | Medicaid | WA | |
| P91043 | Other | WA | UPIN |
| PEA1967 | Other | WA | NPI LOGIN |
| 0216544 | Other | WA | LIWA |
| 3454PE | Other | WA | BSWA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA01307 (Oregon) | Secondary |
| 207P00000X | Emergency Medicine | PA10005135 (Washington) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Upmc East | Monroeville, PA | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Pittsburgh Physicians | 8729990239 | 4166 |
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. Russell Pearl allows following entities to bill medicare on his behalf.
| Entity Name | University of Pittsburgh Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619935004
PECOS PAC ID: 8729990239
Enrollment ID: O20040308000883 |
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| Entity Name | Atlantic Physician Services of Maryland, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730129594
PECOS PAC ID: 5193619765
Enrollment ID: O20040504000401 |
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| Entity Name | Emergency Care Services of Pennsylvania PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114955010
PECOS PAC ID: 1759301799
Enrollment ID: O20051206000046 |
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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. Russell Pearl 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 |
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Russell Pearl, PA C
505 S 336th St, Suite 600,
Federal Way, WA 98003-6328
Ph: (253) 838-6180 | Russell Pearl, PA C
1460 G St,
Springfield, OR 97477-4112
Ph: (541) 726-4510 |
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