Mr Jeremy Lawrence Russell, PA-C - Medicare Physician Assistant in Hammond, LA

Mr Jeremy Lawrence Russell, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Hammond, Louisiana. His current practice location is 15790 Paul Vega Md Dr, Hammond, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 345-2700.

Mr Jeremy Lawrence Russell is licensed to practice in Louisiana (license number 332993) 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 1639808306.

Contact Information

Mr Jeremy Lawrence Russell, PA-C
15790 Paul Vega Md Dr,
Hammond, LA 70403-1436
(985) 345-2700
(985) 230-6653



Provider's Profile

Full NameMr Jeremy Lawrence Russell
GenderMale
SpecialityPhysician Assistant - Surgical
Location15790 Paul Vega Md Dr, Hammond, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639808306
  • Provider Enumeration Date: 06/08/2022
  • Last Update Date: 06/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4789068198
  • Enrollment ID: I20220902002542

Medical Identifiers

Medical identifiers for Mr Jeremy Lawrence Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639808306NPI-NPPES
1639808306OtherLANPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1196694 (Louisiana)Secondary
363AS0400XPhysician Assistant - Surgical 332993 (Louisiana)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. Mr Jeremy Lawrence 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
Mr Jeremy Lawrence Russell, PA-C
Po Box 1389,
Albany, LA 70711-1389

Ph: (985) 320-2195
Mr Jeremy Lawrence Russell, PA-C
15790 Paul Vega Md Dr,
Hammond, LA 70403-1436

Ph: (985) 345-2700

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› Verified 7 days ago


Physician Assistant Nurses in Hammond, LA

Miss Andrea Maria Legendre, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 15813 Paul Vega Md Dr Ste 100, Hammond, LA 70403
Phone: 985-230-2663    
Olivia Buquoi,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 15813 Paul Vega Md Dr # 403, Hammond, LA 70403
Phone: 985-230-7350    
Ashley Hotard, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403
Phone: 985-345-2700    
Melinda Flocke Bonner, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 42205 Veterans Ave, Hammond, LA 70403
Phone: 985-375-9979    
Rachael Mclaughlin Rolling, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 41676 Veterans Ave, Hammond, LA 70403
Phone: 985-543-3600    
Andrew Bragagnini, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 16014 Doctors Blvd, Hammond, LA 70403
Phone: 985-340-7868    Fax: 985-340-7866

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