Ms Dee A Russell, LCSW, LCAC, LISW is a medicare enrolled "Social Worker - Clinical" provider in Payne, Ohio. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Renovate Counseling Services Llc and her current practice location is
3354 Road 124, Payne, Ohio. You can reach out to her office (for appointments etc.) via phone at
(260) 223-7545.
Ms Dee A Russell is licensed to practice in Indiana (license number 34006134A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710274931.
Healthcare Provider's Profile
| Full Name | Ms Dee A Russell |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 18 Years |
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| Location | 3354 Road 124, Payne, Ohio |
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| Accepts Medicare Assignments | Yes. She 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:
- Ms Dee A Russell graduated from medical school in 2006
NPI Data:
- NPI Number: 1710274931
- Provider Enumeration Date: 07/08/2011
- Last Update Date: 12/18/2014
Medicare PECOS Information:
- PECOS PAC ID: 4880865914
- Enrollment ID: I20110922000123
Medical Identifiers
Medical identifiers for Ms Dee A Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710274931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 34006134A (Indiana) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001352A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | I1440160 (Ohio) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Renovate Counseling Services Llc | 6103246376 | 8 |
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. Ms Dee A Russell allows following entities to bill medicare on her behalf.
| Entity Name | Onhealthcare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417220369
PECOS PAC ID: 8527221480
Enrollment ID: O20120514000325 |
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| Entity Name | Renovate Counseling Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689135279
PECOS PAC ID: 6103246376
Enrollment ID: O20201009001472 |
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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. Ms Dee A 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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Ms Dee A Russell, LCSW, LCAC, LISW
3354 Road 124,
Payne, OH 45880-9101
Ph: (260) 223-7545 | Ms Dee A Russell, LCSW, LCAC, LISW
3354 Road 124,
Payne, OH 45880-9101
Ph: (260) 223-7545 |
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