John Calvin Russell, PA - Medicare Physician Assistant in Grand Island, NE

John Calvin Russell, PA is a medicare enrolled "Physician Assistant" in Grand Island, Nebraska. His current practice location is 2201 N Broadwell Ave, Grand Island, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 382-3660.

John Calvin Russell is licensed to practice in Nebraska (license number 815) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275584070.

Contact Information

John Calvin Russell, PA
2201 N Broadwell Ave,
Grand Island, NE 68803-2153
(308) 382-3660
(308) 395-3214



Provider's Profile

Full NameJohn Calvin Russell
GenderMale
SpecialityPhysician Assistant
Location2201 N Broadwell Ave, Grand Island, Nebraska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275584070
  • Provider Enumeration Date: 05/15/2006
  • Last Update Date: 04/25/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2264576552
  • Enrollment ID: I20170921002189

Medical Identifiers

Medical identifiers for John Calvin Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275584070NPI-NPPES
47078557539MedicaidNE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 815 (Nebraska)Primary

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. John Calvin 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 AddressPractice Location Address
John Calvin Russell, PA
2201 N Broadwell Ave,
Grand Island, NE 68803-2153

Ph: (308) 382-3660
John Calvin Russell, PA
2201 N Broadwell Ave,
Grand Island, NE 68803-2153

Ph: (308) 382-3660

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Physician Assistant Nurses in Grand Island, NE

Keri Anania, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 112 W 2nd St Ste 3, Grand Island, NE 68801
Phone: 308-390-2663    Fax: 308-365-1315
Laura A Fox, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 418 N Webb Rd, Grand Island, NE 68803
Phone: 308-384-9300    Fax: 308-384-4542
Mr. Richard Charles Treadway Sr., PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2201 N Broadwell Ave, Nwivahcs, Grand Island, NE 68803
Phone: 308-382-3660    
Mrs. Chelsie N. Doane, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3515 Richmond Cir, Grand Island, NE 68803
Phone: 308-381-8636    Fax: 308-381-8622
Holly Nichole Solt, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803
Phone: 308-382-1100    
Sara G Fill, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2116 W Faidley Ave, Grand Island, NE 68803
Phone: 308-398-5560    Fax: 308-398-5306
Jason R Hadenfeldt, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 620 N Diers Ave Ste 200, Grand Island, NE 68803
Phone: 308-384-5400    Fax: 308-384-5201

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