Mrs Illyssa Marie Russell, LPCC in Corbin, KY

Mrs Illyssa Marie Russell, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Corbin, Kentucky. Her current practice location is 1203 American Greeting Card Rd, Corbin, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 528-7010.

Mrs Illyssa Marie Russell is licensed to practice in Kentucky (license number 167704) 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 1376877407.

Contact Information

	Mrs Illyssa Marie Russell, LPCC
	1203 American Greeting Card Rd, Corbin, KY 40701-4811
	(606) 528-7010
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Illyssa Marie Russell
Gender	Female
Speciality	Counselor - Mental Health
Location	1203 American Greeting Card Rd, Corbin, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376877407
Provider Enumeration Date: 09/22/2009
Last Update Date: 09/27/2016

Medicare PECOS Information:

PECOS PAC ID: 8426409822
Enrollment ID: I20240110002901

Medical Identifiers

Medical identifiers for Mrs Illyssa Marie Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376877407	NPI	-	NPPES
7100413020	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	167704 (Kentucky)	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. Mrs Illyssa Marie Russell allows following entities to bill medicare on her behalf.

Entity Name	Kentucky Counseling Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932590338 PECOS PAC ID: 7618221300 Enrollment ID: O20181115002000

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. Mrs Illyssa Marie 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
Mrs Illyssa Marie Russell, LPCC Po Box 568, Corbin, KY 40702-0568 Ph: (606) 528-7010	Mrs Illyssa Marie Russell, LPCC 1203 American Greeting Card Rd, Corbin, KY 40701-4811 Ph: (606) 528-7010

Reviews and Comments

Counselor in Corbin, KY

Thanh N Helton, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1203 American Greeting Card Rd, Corbin, KY 40701 Phone: 606-528-7010
Ashley Blair Freeman, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1203 American Greeting Card Rd, Corbin, KY 40701 Phone: 606-528-7010
Ms. Maleah Allise Roberts, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1203 American Greeting Card Rd, Corbin, KY 40701 Phone: 606-528-7010
Crystal Dale Neufeld, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1203 American Greeting Card Rd, Corbin, KY 40701 Phone: 606-528-7010
Mrs. Kelli Breanne Cornett, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1203 American Greeting Rd, Corbin, KY 40701 Phone: 606-528-7010
Lesley Anne Frazier, BS Counselor Medicare: Medicare Enrolled Practice Location: 1203 American Greeting Card Rd, Corbin, KY 40701 Phone: 606-528-7010
Aaron Israel Banks, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1203 American Greeting Card Rd, Corbin, KY 40701 Phone: 606-528-7010

Mrs Illyssa Marie Russell, LPCC - Medicare Counselor in Corbin, KY