Russell Lynn Vollmer, LCSW is a medicare enrolled "Social Worker" provider in Malad City, Idaho. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Catholic Health Initiatives Colorado and his current practice location is
215 E 50 S Ste 5, Malad City, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 766-2365.
Russell Lynn Vollmer is licensed to practice in Utah (license number 286822-3501) 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 1962813253.
Healthcare Provider's Profile
| Full Name | Russell Lynn Vollmer |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 10 Years |
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| Location | 215 E 50 S Ste 5, Malad City, Idaho |
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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:
- Russell Lynn Vollmer graduated from medical school in 2014
NPI Data:
- NPI Number: 1962813253
- Provider Enumeration Date: 05/08/2014
- Last Update Date: 03/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587888938
- Enrollment ID: I20211025002661
Medical Identifiers
Medical identifiers for Russell Lynn Vollmer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962813253 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 286822-3501 (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-36911 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LSW-28623 (Idaho) | Secondary |
| 104100000X | Social Worker | 286822-3501 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Catholic Health Initiatives Colorado | 8022927342 | 972 |
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. Russell Lynn Vollmer allows following entities to bill medicare on his behalf.
| Entity Name | Physician Group Of Utah Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477676930
PECOS PAC ID: 8022032234
Enrollment ID: O20060113000886 |
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| Entity Name | Catholic Health Initiatives Colorado |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942903562
PECOS PAC ID: 8022927342
Enrollment ID: O20230615001995 |
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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. Russell Lynn Vollmer 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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Russell Lynn Vollmer, LCSW
2672 N 3100 W,
Malad City, ID 83252-6519
Ph: (208) 637-9813 | Russell Lynn Vollmer, LCSW
215 E 50 S Ste 5,
Malad City, ID 83252-2300
Ph: (208) 766-2365 |
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