Mrs Jerelyn S Russell, is a
Community Health Worker based in Winnsboro, South Carolina. Mrs Jerelyn S Russell is licensed to practice in South Carolina (license number 172V00000X) and her current practice location is
1077 Kincaid Bridge Rd., Winnsboro, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 635-9416.
NPI number for Mrs Jerelyn S Russell is 1801041124 and her current mailing address is 117 N Vanderhorst St, Winnsboro, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801041124.
Healthcare Provider's Profile
Full Name | Mrs Jerelyn S Russell |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 1077 Kincaid Bridge Rd., Winnsboro, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801041124
- Provider Enumeration Date: 12/01/2008
- Last Update Date: 12/01/2008
Medical Identifiers
Medical identifiers for Mrs Jerelyn S Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801041124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 101Y00000X (South Carolina) | Secondary |
172V00000X | Community Health Worker | 172V00000X (South Carolina) | 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. Mrs Jerelyn S Russell 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 |
Mrs Jerelyn S Russell, 117 N Vanderhorst St, Winnsboro, SC 29180-1324 Ph: (803) 718-3121 | Mrs Jerelyn S Russell, 1077 Kincaid Bridge Rd., Winnsboro, SC 29180 Ph: (803) 635-9416 |
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