Randy Pat Russell, AUD is a medicare enrolled "Audiologist" provider in Marshall, Texas. His current practice location is
1005 E Grand Ave, Marshall, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 927-1111.
Randy Pat Russell is licensed to practice in Texas (license number 50379) 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 1245315571.
Healthcare Provider's Profile
| Full Name | Randy Pat Russell |
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| Gender | Male |
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| Speciality | Audiologist |
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| Location | 1005 E Grand Ave, Marshall, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245315571
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 03/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214849157
- Enrollment ID: I20100217000238
Medical Identifiers
Medical identifiers for Randy Pat Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245315571 | NPI | - | NPPES |
| 80200A | Other | TX | BC/BS PROVIDER # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 50379 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Randy Pat Russell allows following entities to bill medicare on his behalf.
| Provider Name | Audio Acoustics Hearing Centers, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1649494592
PECOS PAC ID: 5395889166
Enrollment ID: O20100217000195 |
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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. Randy Pat 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 Address | Practice Location Address |
|---|
Randy Pat Russell, AUD
1005 E Grand Ave,
Marshall, TX 75670-3558
Ph: (903) 927-1111 | Randy Pat Russell, AUD
1005 E Grand Ave,
Marshall, TX 75670-3558
Ph: (903) 927-1111 |
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