Ms Kristina Lea Russo, MA LMHC in Brockton, MA

Ms Kristina Lea Russo, MA LMHC is a medicare enrolled "Counselor - Professional" provider in Brockton, Massachusetts. Her current practice location is 10 Meadowbrook Rd, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 742-4400.

Ms Kristina Lea Russo is licensed to practice in Massachusetts (license number 5692) 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 1184924292.

Contact Information

	Ms Kristina Lea Russo, MA LMHC
	10 Meadowbrook Rd, Brockton, MA 02301-7122
	(508) 742-4400
	(508) 408-6192

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kristina Lea Russo
Gender	Female
Speciality	Counselor - Professional
Location	10 Meadowbrook Rd, Brockton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184924292
Provider Enumeration Date: 10/25/2010
Last Update Date: 06/08/2016

Medicare PECOS Information:

PECOS PAC ID: 5597104273
Enrollment ID: I20240415000474

Medical Identifiers

Medical identifiers for Ms Kristina Lea Russo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184924292	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	5692 (Massachusetts)	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 Kristina Lea Russo allows following entities to bill medicare on her behalf.

Entity Name	Brockton Area Multi-services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437101839 PECOS PAC ID: 9133161953 Enrollment ID: O20060220000224

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 Kristina Lea Russo 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 Kristina Lea Russo, MA LMHC 10 Meadowbrook Rd, Brockton, MA 02301-7122 Ph: (508) 742-4400	Ms Kristina Lea Russo, MA LMHC 10 Meadowbrook Rd, Brockton, MA 02301-7122 Ph: (508) 742-4400

Reviews and Comments

Counselor in Brockton, MA

Mrs. Neena Nicole Mcconnico, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 95 River St, Brockton, MA 02302 Phone: 508-580-8546
Cecilia Vicente, Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 Main St, Suite 300, Brockton, MA 02301 Phone: 508-586-2660 Fax: 508-427-1505
Krista Hojlo, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Brian Dr, Brockton, MA 02301 Phone: 508-245-1566
Pamela Cummisky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Meadowbrook Rd, Brockton, MA 02301 Phone: 774-628-1000
Thalia Dominguez, NREMT, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 56 Cherry St, Brockton, MA 02301 Phone: 508-580-0801
Deborah G Stromberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 Belmont St, Brockton, MA 02301 Phone: 508-580-4691 Fax: 508-588-5751
Dennis Dipinto, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 529 Pearl St, Brockton, MA 02301 Phone: 508-580-2211

Ms Kristina Lea Russo, MA LMHC - Medicare Counselor in Brockton, MA