Cynthia Russell, LCSW in Marietta, GA - Medicare Counselor Provider

Cynthia Russell, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Marietta, Georgia. Her current practice location is 833 Campbell Hill St Nw Ste 250, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 956-2020.

Cynthia Russell is licensed to practice in Georgia (license number CSW005766) 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 1689228074.

Contact Information

	Cynthia Russell, LCSW
	833 Campbell Hill St Nw Ste 250, Marietta, GA 30060-1162
	(470) 956-2020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cynthia Russell
Gender	Female
Speciality	Counselor - Mental Health
Location	833 Campbell Hill St Nw Ste 250, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689228074
Provider Enumeration Date: 07/24/2019
Last Update Date: 06/08/2021

Medicare PECOS Information:

PECOS PAC ID: 8729493705
Enrollment ID: I20210225001423

Medical Identifiers

Medical identifiers for Cynthia Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689228074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CSW005766 (Georgia)	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. Cynthia Russell allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Cynthia 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
Cynthia Russell, LCSW 833 Campbell Hill St Nw Ste 250, Marietta, GA 30060-1162 Ph: (470) 956-2020	Cynthia Russell, LCSW 833 Campbell Hill St Nw Ste 250, Marietta, GA 30060-1162 Ph: (470) 956-2020

Reviews and Comments

Counselor in Marietta, GA

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Maria Edna Garcia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4343 Shallowford Rd Ste C2, Marietta, GA 30062 Phone: 404-579-2833 Fax: 770-993-9800
Frieda Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1650 County Services Pkwy Sw, Marietta, GA 30008 Phone: 770-514-2422 Fax: 770-422-7545

Cynthia Russell, LCSW - Medicare Counselor in Marietta, GA