Dr Kerry Bruce Russell, DC, CCSP - Medicare Chiropractor in Traverse City, MI

Dr Kerry Bruce Russell, DC, CCSP is a medicare enrolled "Chiropractor - Sports Physician" provider in Traverse City, Michigan. He went to National College Of Chiropractic and graduated in 1996 and has 28 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Russell Chiropractic, Plc and his current practice location is 692 Hannah Ave, Suite A, Traverse City, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 947-2228.

Dr Kerry Bruce Russell is licensed to practice in Michigan (license number KR007665) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093714222.

Contact Information

Dr Kerry Bruce Russell, DC, CCSP
692 Hannah Ave, Suite A,
Traverse City, MI 49686-3110
(231) 947-2228
(231) 947-2616

Map and Direction




Healthcare Provider's Profile

Full NameDr Kerry Bruce Russell
GenderMale
SpecialityChiropractic
Experience28 Years
Location692 Hannah Ave, Traverse City, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kerry Bruce Russell attended and graduated from National College Of Chiropractic in 1996
  NPI Data:
  • NPI Number: 1093714222
  • Provider Enumeration Date: 07/19/2005
  • Last Update Date: 09/09/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4486724093
  • Enrollment ID: I20080609000059

Medical Identifiers

Medical identifiers for Dr Kerry Bruce Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093714222NPI-NPPES
4417133MedicaidMI
P99464OtherMIBLUE CARE NETWORK
U72489OtherMIPRIORITY HEALTH
611406599OtherMIPPOM
15934OtherMIMCARE
950B850440OtherMIBCBSM PPO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111NS0005XChiropractor - Sports Physician KR007665 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Russell Chiropractic, Plc17594513623

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. Dr Kerry Bruce Russell allows following entities to bill medicare on his behalf.
Provider NameRussell Chiropractic, Plc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1700044104
PECOS PAC ID: 1759451362
Enrollment ID: O20080609000065

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. Dr Kerry Bruce 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
Dr Kerry Bruce Russell, DC, CCSP
692 Hannah Ave, Suite A,
Traverse City, MI 49686-3110

Ph: (231) 947-2228
Dr Kerry Bruce Russell, DC, CCSP
692 Hannah Ave, Suite A,
Traverse City, MI 49686-3110

Ph: (231) 947-2228

Reviews and Comments


Chiropractor in Traverse City, MI

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Phone: 231-946-9246    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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