Russell Stagg, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Meeker, Colorado. He graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Pine Ridge Indian Health Service Hospital and his current practice location is
100 Pmc Dr, Meeker, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 878-9740.
Russell Stagg is licensed to practice in Missouri (license number 2012001556) 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 1720356496.
Provider's Profile
| Full Name | Russell Stagg |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 15 Years |
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| Location | 100 Pmc Dr, Meeker, Colorado |
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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 Stagg graduated from nursing school in 2011
NPI Data:
- NPI Number: 1720356496
- Provider Enumeration Date: 12/08/2011
- Last Update Date: 02/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961663489
- Enrollment ID: I20160129000484
Medical Identifiers
Medical identifiers for Russell Stagg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720356496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 6154226-3102 (Utah) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2012001556 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pine Ridge Indian Health Service Hospital | 4688571326 | 105 |
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 Stagg allows following entities to bill medicare on his behalf.
| Entity Name | Pine Ridge Indian Health Service Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497786412
PECOS PAC ID: 4688571326
Enrollment ID: O20031218000966 |
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| Entity Name | Pine Ridge Indian Health Service Hospital |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1497786412
PECOS PAC ID: 4688571326
Enrollment ID: O20080229000631 |
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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 Stagg 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 Stagg, CRNA
Po Box 2541,
Meeker, CO 81641-2541
Ph: (801) 803-3106 | Russell Stagg, CRNA
100 Pmc Dr,
Meeker, CO 81641-3181
Ph: (970) 878-9740 |
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