Abigail Russell, LCSW in Green Bay, WI - Medicare Social Worker Provider

Abigail Russell, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Green Bay, Wisconsin. Her current practice location is 480 Pilgrim Way # 1300-a, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 610-5119.

Abigail Russell is licensed to practice in Wisconsin (license number 132852-121) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396473955.

Contact Information

	Abigail Russell, LCSW
	480 Pilgrim Way # 1300-a, Green Bay, WI 54304-5280
	(920) 610-5119
	(920) 610-5120

Map and Direction

Healthcare Provider's Profile

Full Name	Abigail Russell
Gender	Female
Speciality	Social Worker - Clinical
Location	480 Pilgrim Way # 1300-a, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396473955
Provider Enumeration Date: 08/11/2022
Last Update Date: 04/22/2024

Medicare PECOS Information:

PECOS PAC ID: 3971942947
Enrollment ID: I20240424000363

Medical Identifiers

Medical identifiers for Abigail Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396473955	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	132852-121 (Wisconsin)	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. Abigail Russell allows following entities to bill medicare on her behalf.

Entity Name	Nystrom & Associates Counseling Wi Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659977866 PECOS PAC ID: 1052729464 Enrollment ID: O20210426000171

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. Abigail 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
Abigail Russell, LCSW 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 628-9566	Abigail Russell, LCSW 480 Pilgrim Way # 1300-a, Green Bay, WI 54304-5280 Ph: (920) 610-5119

Reviews and Comments

Social Worker in Green Bay, WI

Holly Sage, MSW, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2851 University Ave, Green Bay, WI 54311 Phone: 920-431-2500
Jayne E Von Der Linden, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Crooks St, Green Bay, WI 54301 Phone: 920-436-6800 Fax: 920-432-5966
Kavita Carlson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2680 Vernon Dr, Green Bay, WI 54304 Phone: 920-496-4700
Joseph David Hoelscher, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 760 Pilgrim Way, Green Bay, WI 54304 Phone: 920-496-4700 Fax: 920-496-4705
Rebecca Marie Barrett, MSW APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Crooks St, Green Bay, WI 54301 Phone: 920-436-6800 Fax: 920-437-3540
Shannon M Anderson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1499 6th St, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 888-974-5769
Lorelle Berglund, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1499 6th St, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 888-974-5769

Abigail Russell, LCSW - Medicare Clinical Social Worker in Green Bay, WI