Valeri Renee Russell
Individual provider Active NPI Physician Assistant · Miles City, MT
NPI 1578893418 · NPPES record last updated Mar 4, 2010
Key facts
- NPI
- 1578893418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 600 (MT)
- Practice address
- 2600 Wilson St
Miles City, MT 59301-5094 - Phone
- (406) 233-2600
- NPI assigned
- Dec 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Roundup Memorial Hospital Association
Practice addresses (Care Compare)
1202 3Rd St W
Roundup, MT 59072-1816
Phone (406) 323-2301
1207 2ND St W
Roundup, MT 59072-1835
Phone (406) 323-2301
Hospital & facility affiliations
- Roundup Memorial Healthcare
- Holy Rosary Hospital
- Intermountain Health St Vincent Regional Hospital
- Billings Clinic Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100526001081 | MT | Practitioner - Physician Assistant | 6507991981 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 600 | MT | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roundup Memorial Hospital Association | Current |
Accepting new patients | |
| Holy Rosary Healthcare | Current |
Accepting new patients | |
| Holy Rosary Healthcare | Current |
Accepting new patients | |
| Roundup Memorial Hospital Association | Current |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
2600 Wilson St
Miles City, MT 59301
Phone (406) 233-2500
1202 3rd St W
Roundup, MT 59072
Phone (406) 323-2301
1207 2nd St W
Roundup, MT 59072
Phone (406) 323-2301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 600 | MT | Yes |
Addresses
Primary practice location
2600 Wilson St
Miles City, MT 59301-5094
Mailing address
2600 Wilson St
Miles City, MT 59301-5094
Other providers in Miles City, MT
- Lourdes R. Reynolds
- Kassidy J Richards
- Jessica Rosencranz
- Taiken Rost
- Steven Rowley
- Abigail Ryman
- Sabina Ramilievna Sabyrkulova
- Salus Chiropractic PLLC
- Fred Scheid III
- Sherry K. Schillo
All providers in Miles City, MT · Physician Assistant in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.