Dr Russell A Hardesty, PHD is a
Counselor - Professional based in Auxvasse, Missouri. Dr Russell A Hardesty is licensed to practice in Missouri (license number 001224) and his current practice location is
807 County Road 281, Auxvasse, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 387-4528.
NPI number for Dr Russell A Hardesty is 1861725160 and his current mailing address is 807 County Road 281, Auxvasse, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861725160.
Healthcare Provider's Profile
| Full Name | Dr Russell A Hardesty |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 807 County Road 281, Auxvasse, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861725160
- Provider Enumeration Date: 09/17/2009
- Last Update Date: 09/17/2009
Medical Identifiers
Medical identifiers for Dr Russell A Hardesty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861725160 | NPI | - | NPPES |
| 496746801 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 001224 (Missouri) | Primary |
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. Dr Russell A Hardesty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Russell A Hardesty, PHD
807 County Road 281,
Auxvasse, MO 65231-1128
Ph: (573) 387-4528 | Dr Russell A Hardesty, PHD
807 County Road 281,
Auxvasse, MO 65231-1128
Ph: (573) 387-4528 |
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