Ms Karen Elizabeth Russell, PCC-S, LCDC III in Sandusky, OH

Ms Karen Elizabeth Russell, PCC-S, LCDC III is a medicare enrolled "Counselor - Mental Health" provider in Sandusky, Ohio. Her current practice location is 1925 Hayes Ave, Sandusky, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 557-5177.

Ms Karen Elizabeth Russell is licensed to practice in Ohio (license number E0003775) 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 1417282021.

Contact Information

	Ms Karen Elizabeth Russell, PCC-S, LCDC III
	1925 Hayes Ave, Sandusky, OH 44870-4737
	(419) 557-5177
	(419) 557-5169

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Karen Elizabeth Russell
Gender	Female
Speciality	Counselor - Mental Health
Location	1925 Hayes Ave, Sandusky, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417282021
Provider Enumeration Date: 10/15/2009
Last Update Date: 10/15/2009

Medicare PECOS Information:

PECOS PAC ID: 7911359294
Enrollment ID: I20240123001560

Medical Identifiers

Medical identifiers for Ms Karen Elizabeth Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417282021	NPI	-	NPPES
011110	Other	OH	LICENSED PROFESSIONAL CHEMICAL DEPENDENCY COUNSELOR III
E0003775	Other	OH	PROFESSIONAL CLINICAL COUNSELOR
ICADC 23847	Other		INTERNATIONALLY CERTIFIED ALCOHOL AND DRUG COUNSELOR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	01110 (Ohio)	Secondary
101YM0800X	Counselor - Mental Health	E0003775 (Ohio)	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. Ms Karen Elizabeth Russell allows following entities to bill medicare on her behalf.

Entity Name	Firelands Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801884655 PECOS PAC ID: 6103734645 Enrollment ID: O20040415000236

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. Ms Karen Elizabeth 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
Ms Karen Elizabeth Russell, PCC-S, LCDC III 1925 Hayes Ave, Sandusky, OH 44870-4737 Ph: (419) 557-5223	Ms Karen Elizabeth Russell, PCC-S, LCDC III 1925 Hayes Ave, Sandusky, OH 44870-4737 Ph: (419) 557-5177

Reviews and Comments

Counselor in Sandusky, OH

Gavin Lee Winters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177
Dr. Jacqueline S. Hamler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 E Perkins Ave Ste 201, Sandusky, OH 44870 Phone: 419-609-0285 Fax: 419-609-0286
Kimberly Mary Dunphy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 Fax: 419-557-5179
Melissa Allton-cameron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 Fax: 419-557-5179
Penny Starr Morgan, PCC Counselor Medicare: Medicare Enrolled Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 Fax: 419-557-5179
Ellen Tracy Miles, P.C.C. Counselor Medicare: Medicare Enrolled Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 Fax: 419-557-5179
Ms. Charlene Jeanette Adams, LICDCCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1518 Pearl Street, Sandusky, OH 44870 Phone: 419-515-0663

Ms Karen Elizabeth Russell, PCC-S, LCDC III - Medicare Counselor in Sandusky, OH