MS. MEGAN PATRICIA RUSSELL P.A.
NPI 1194060400
Physician Assistant - Medical in Bronx, NY

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since November 28, 2012PECOS Enrolled

111 E 210TH ST, CRITICAL CARE MEDICINE OFFICE, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Megan Patricia Russell P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MEGAN PATRICIA RUSSELL P.A. (NPI 1194060400) is an individual medical provider in Bronx, New York, licensed in New York (016260) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194060400

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. MEGAN PATRICIA RUSSELLCredential: P.A.

Location Address111 E 210TH ST, CRITICAL CARE MEDICINE OFFICEBronx, NY 10467-2401

Mailing Address3011 Zulette AveBronx, NY 10461-5619 · (914) 309-4266

Phone(718) 920-4321

Sole ProprietorNo

Enumeration DateNovember 28, 2012

✔ NPI 1194060400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 016260

111 E 210TH ST, Bronx, NY 10467

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Megan Patricia Russell P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.