Ms Susan Marie Russell, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Medina, Ohio. Her current practice location is
217 W Homestead St, Medina, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 840-9385.
Ms Susan Marie Russell is licensed to practice in Ohio (license number I0700087) 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 1235348137.
Healthcare Provider's Profile
Full Name | Ms Susan Marie Russell |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 217 W Homestead St, Medina, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235348137
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 07/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072603273
- Enrollment ID: I20071211000824
Medical Identifiers
Medical identifiers for Ms Susan Marie Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235348137 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 011327 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | I0700087 (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 Susan Marie Russell allows following entities to bill medicare on her behalf.
Entity Name | Cornerstone Psychological & Counseling Services Of Northeast Ohio |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144612300 PECOS PAC ID: 1052631868 Enrollment ID: O20150519001575 |
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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 Susan 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 |
Ms Susan Marie Russell, LISW-S 217 W Homestead St, Medina, OH 44256-3129 Ph: (330) 840-9385 | Ms Susan Marie Russell, LISW-S 217 W Homestead St, Medina, OH 44256-3129 Ph: (330) 840-9385 |
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