Sandra Allison Russell, NP-C is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in New Albany, Mississippi. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Baptist Memorial Hospital Union County, Inc. and her current practice location is
200 State Highway 30 W, New Albany, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 538-2438.
Sandra Allison Russell is licensed to practice in Mississippi (license number AG0916010) 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 1134671126.
Provider's Profile
| Full Name | Sandra Allison Russell |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 200 State Highway 30 W, New Albany, Mississippi |
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| Accepts Medicare Assignments | Yes. She 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:
- Sandra Allison Russell graduated from nursing school in 2016
NPI Data:
- NPI Number: 1134671126
- Provider Enumeration Date: 10/26/2016
- Last Update Date: 02/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 5496163388
- Enrollment ID: I20210413003039
Medical Identifiers
Medical identifiers for Sandra Allison Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134671126 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SA2200X | Clinical Nurse Specialist - Adult Health | AG0916010 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Baptist Memorial Hospital Union County, Inc. | 4183601305 | 33 |
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. Sandra Allison Russell allows following entities to bill medicare on her behalf.
| Entity Name | North Mississippi Medical Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972608347
PECOS PAC ID: 9931010600
Enrollment ID: O20040413000541 |
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| Entity Name | Baptist Memorial Hospital Union County, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780648352
PECOS PAC ID: 4183601305
Enrollment ID: O20040706000553 |
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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. Sandra Allison 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 |
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Sandra Allison Russell, NP-C
965 Ridge Lake Blvd Ste 315,
Memphis, TN 38120-9401
Ph: (877) 348-1281 | Sandra Allison Russell, NP-C
200 State Highway 30 W,
New Albany, MS 38652-3112
Ph: (662) 538-2438 |
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