Bonnie Russo, LCSW is a medicare enrolled "Counselor - Mental Health" provider in West Palm Beach, Florida. Her current practice location is
7721 N Military Trl Ste 3-5, West Palm Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(561) 649-6500.
Bonnie Russo is licensed to practice in Florida (license number SW15096) 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 1366922288.
Healthcare Provider's Profile
| Full Name | Bonnie Russo |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 7721 N Military Trl Ste 3-5, West Palm Beach, Florida |
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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: 1366922288
- Provider Enumeration Date: 08/20/2018
- Last Update Date: 06/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688030414
- Enrollment ID: I20230519001509
Medical Identifiers
Medical identifiers for Bonnie Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366922288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | SW15096 (Florida) | Secondary |
| 171M00000X | Case Manager/care Coordinator | SW15096 (Florida) | Secondary |
| 104100000X | Social Worker | SW15096 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | SW15096 (Florida) | 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. Bonnie Russo allows following entities to bill medicare on her behalf.
| Entity Name | Papillon Health And Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639892854
PECOS PAC ID: 3779949508
Enrollment ID: O20230519001425 |
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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. Bonnie Russo 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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Bonnie Russo, LCSW
4740 N State Road 7 Ste 201,
Lauderdale Lakes, FL 33319-5839
Ph: (954) 486-4005 | Bonnie Russo, LCSW
7721 N Military Trl Ste 3-5,
West Palm Beach, FL 33410-7429
Ph: (561) 649-6500 |
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