Dr Ty D Russell, DC is a medicare enrolled "Chiropractor" provider in Gravette, Arkansas. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Chiropractic. His current practice location is
207 Atlanta Street S.e., Gravette, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 787-7555.
Dr Ty D Russell is licensed to practice in Arkansas (license number 15,726) 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 1487961322.
Healthcare Provider's Profile
| Full Name | Dr Ty D Russell |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 26 Years |
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| Location | 207 Atlanta Street S.e., Gravette, Arkansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ty D Russell graduated from medical school in 1998
NPI Data:
- NPI Number: 1487961322
- Provider Enumeration Date: 09/13/2010
- Last Update Date: 09/17/2014
Medicare PECOS Information:
- PECOS PAC ID: 0143118026
- Enrollment ID: I20110714000601
Medical Identifiers
Medical identifiers for Dr Ty D Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487961322 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 15,726 (Arkansas) | 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. Dr Ty D Russell allows following entities to bill medicare on his behalf.
| Provider Name | Bailey Health Center, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376834382
PECOS PAC ID: 0042488207
Enrollment ID: O20110714000540 |
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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. Dr Ty D 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 |
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Dr Ty D Russell, DC
207 Atlanta Street S.e.,
Gravette, AR 72736
Ph: (479) 787-7555 | Dr Ty D Russell, DC
207 Atlanta Street S.e.,
Gravette, AR 72736
Ph: (479) 787-7555 |
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