Brittany Russell, | |
326 Orchard Park Rd, West Seneca, NY 14224-2635 | |
(716) 662-6638 | |
(716) 828-1522 |
Full Name | Brittany Russell |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 326 Orchard Park Rd, West Seneca, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104312487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101Y00000X | Counselor | 010948-01 (New York) | Secondary |
101YM0800X | Counselor - Mental Health | 010948-01 (New York) | Primary |
Entity Name | Erie County South East Corp V |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487601837 PECOS PAC ID: 9638079023 Enrollment ID: O20040112000148 |
Mailing Address | Practice Location Address |
---|---|
Brittany Russell, 227 Thorn Ave, Orchard Park, NY 14127-2600 Ph: (716) 662-2040 | Brittany Russell, 326 Orchard Park Rd, West Seneca, NY 14224-2635 Ph: (716) 662-6638 |
Shannon Franz, Counselor Medicare: Medicare Enrolled Practice Location: 326 Orchard Park Rd, West Seneca, NY 14224 Phone: 716-828-0560 Fax: 716-823-0751 | |
George Brimmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 326 Orchard Park Rd, West Seneca, NY 14224 Phone: 716-662-6638 Fax: 716-823-0751 | |
Anne Louise Petti, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Center Rd, West Seneca, NY 14224 Phone: 716-300-8510 | |
Danielle Barone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 326 Orchard Park Rd, West Seneca, NY 14224 Phone: 716-828-1719 Fax: 716-828-9275 | |
Ms. Michelle Elizabeth Waney, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 355 Harlem Road, West Seneca, NY 14224 Phone: 716-558-5522 Fax: 716-694-0793 | |
Irish Lynn Brothers, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1419 Union Rd, West Seneca, NY 14224 Phone: 716-541-5451 |