Ms Jessica Nicole Jack Russell, LISW in Warren, OH - Medicare Clinical Social Worker Provider

Ms Jessica Nicole Jack Russell, LISW is a medicare enrolled "Social Worker - Clinical" provider in Warren, Ohio. She went to University Of Pittsburgh School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Rajendra P Koirala, M.d., Llc and her current practice location is 425 Niles Cortland Rd Se, Warren, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 856-3975.

Ms Jessica Nicole Jack Russell is licensed to practice in Ohio (license number I.1901879) 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 1184776692.

Contact Information

	Ms Jessica Nicole Jack Russell, LISW
	425 Niles Cortland Rd Se, Warren, OH 44484-2478
	(330) 856-3975
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jessica Nicole Jack Russell
Gender	Female
Speciality	Clinical Social Worker
Experience	17 Years
Location	425 Niles Cortland Rd Se, Warren, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Jessica Nicole Jack Russell attended and graduated from University Of Pittsburgh School Of Medicine in 2007

NPI Data:

NPI Number: 1184776692
Provider Enumeration Date: 01/17/2007
Last Update Date: 11/04/2019

Medicare PECOS Information:

PECOS PAC ID: 0749616464
Enrollment ID: I20200128002370

Medical Identifiers

Medical identifiers for Ms Jessica Nicole Jack Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184776692	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.1901879 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rajendra P Koirala, M.d., Llc	8820334931	14

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 Jessica Nicole Jack Russell allows following entities to bill medicare on her behalf.

Entity Name	Rajendra P Koirala, M.d., Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760977177 PECOS PAC ID: 8820334931 Enrollment ID: O20190110002117

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 Jessica Nicole Jack 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
Ms Jessica Nicole Jack Russell, LISW 4206 Hopkins Rd, Youngstown, OH 44511-3710 Ph: (412) 559-4553	Ms Jessica Nicole Jack Russell, LISW 425 Niles Cortland Rd Se, Warren, OH 44484-2478 Ph: (330) 856-3975

Reviews and Comments

Social Worker in Warren, OH

Kayla Keener, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1460 Tod Ave Nw, Warren, OH 44485 Phone: 330-392-0311 Fax: 216-229-2897
Rhonda Lynn Williams, SWT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 430 Franklin St Se, Warren, OH 44483 Phone: 330-372-2200
Rayna Rintala, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 318 Mahoning Ave Nw, Warren, OH 44483 Phone: 330-395-9563
Amanda L Bright, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 320 High St Ne, Warren, OH 44481 Phone: 330-797-0070
Christina Danielle Anderson, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 318 Mahoning Ave Nw, Warren, OH 44483 Phone: 330-395-9563
Allison Rachel Kidd, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4930 Enterprise Dr Nw, Warren, OH 44481 Phone: 330-787-0955

Ms Jessica Nicole Jack Russell, LISW - Medicare Clinical Social Worker in Warren, OH