Ebbie Russett, CMHC in Clearfield, UT - Medicare Counselor Provider

Ebbie Russett, CMHC is a medicare enrolled "Counselor - Mental Health" provider in Clearfield, Utah. Her current practice location is 1785 E 1450 S Ste 300, Clearfield, Utah. You can reach out to her office (for appointments etc.) via phone at (888) 949-4864.

Ebbie Russett is licensed to practice in Utah (license number 9149805-6004) 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 1679907174.

Contact Information

	Ebbie Russett, CMHC
	1785 E 1450 S Ste 300, Clearfield, UT 84015-2299
	(888) 949-4864
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ebbie Russett
Gender	Female
Speciality	Counselor - Mental Health
Location	1785 E 1450 S Ste 300, Clearfield, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679907174
Provider Enumeration Date: 09/03/2013
Last Update Date: 06/12/2020

Medicare PECOS Information:

PECOS PAC ID: 6709223084
Enrollment ID: I20240321003669

Medical Identifiers

Medical identifiers for Ebbie Russett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679907174	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	9149805-6004 (Utah)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary

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. Ebbie Russett allows following entities to bill medicare on her behalf.

Entity Name	South Davis Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386142396 PECOS PAC ID: 0446511927 Enrollment ID: O20180223002317

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. Ebbie Russett 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
Ebbie Russett, CMHC 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 Ph: (888) 949-4864	Ebbie Russett, CMHC 1785 E 1450 S Ste 300, Clearfield, UT 84015-2299 Ph: (888) 949-4864

Reviews and Comments

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Ebbie Russett, CMHC - Medicare Counselor in Clearfield, UT