Doctor profile · Federal record
Dr. Jeremy Russell, PA-C
Surgical Physician Assistant (CMS: Physician Assistant) · Physician Assistant · Hammond, LA
- NPI 1639808306
- Accepts Medicare
- MIPS 75.2 / 100 · 2023
- 4 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
15790 Paul Vega MD Dr
Hammond, LA 704031436
(985) 345-2700
fax (985) 230-6653 - Mailing address
-
Po Box 1389
Albany, LA 707111389
Credentials & registration
- NPI registered
- June 2022 — 4 yrs on file
- Profile last updated
- June 8, 2023
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State licenses (2)
- Louisiana #332993 · Louisiana #1196694
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639808306. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$258
Transactions
24
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Inari Medical, INC. | 24 | $258.08 |
By nature of payment
Frequently asked questions
What is Dr. Jeremy Russell's medical specialty?
Dr. Jeremy Russell practices Surgical Physician Assistant in Hammond, LA.
Where does Dr. Jeremy Russell practice?
Dr. Jeremy Russell practices at 15790 Paul Vega MD Dr, Hammond, LA 704031436. Office phone: 9853452700.
What is Dr. Jeremy Russell's NPI?
Dr. Jeremy Russell's National Provider Identifier (NPI) is 1639808306, issued by NPPES.
Does Dr. Jeremy Russell accept Medicare assignment?
Yes. Dr. Jeremy Russell accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.