Mrs Lisseth Russa, MS, RMHI, CBHCMS is a
Case Manager/care Coordinator based in Maitland, Florida. Mrs Lisseth Russa is licensed to practice in * (Not Available) (license number ) and her current practice location is
225 S Swoope Ave Ste 211, Maitland, Florida. She can be reached at her office (for appointments etc.) via phone at
(407) 622-0444.
NPI number for Mrs Lisseth Russa is 1891061271 and her current mailing address is 8228 Lost Lake Dr., Orlando, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891061271.
Healthcare Provider's Profile
| Full Name | Mrs Lisseth Russa |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 225 S Swoope Ave Ste 211, Maitland, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891061271
- Provider Enumeration Date: 03/29/2012
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Mrs Lisseth Russa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891061271 | NPI | - | NPPES |
| IMH15818 | Other | FL | DOH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | IMH15818 (Florida) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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 Lisseth Russa 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 Lisseth Russa, MS, RMHI, CBHCMS
8228 Lost Lake Dr.,
Orlando, FL 32817-1384
Ph: (862) 754-7373 | Mrs Lisseth Russa, MS, RMHI, CBHCMS
225 S Swoope Ave Ste 211,
Maitland, FL 32751-5786
Ph: (407) 622-0444 |
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