Patrick L Russell, LMHC in Jamestown, NY - Medicare Counselor Provider

Patrick L Russell, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Jamestown, New York. His current practice location is 332 E 4th St, Jamestown, New York. You can reach out to his office (for appointments etc.) via phone at (716) 488-1971.

Patrick L Russell is licensed to practice in New York (license number 002150-01) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194483818.

Contact Information

	Patrick L Russell, LMHC
	332 E 4th St, Jamestown, NY 14701-5502
	(716) 488-1971
	(716) 483-6878

Map and Direction

Healthcare Provider's Profile

Full Name	Patrick L Russell
Gender	Male
Speciality	Counselor - Mental Health
Location	332 E 4th St, Jamestown, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194483818
Provider Enumeration Date: 11/30/2021
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 9436103496
Enrollment ID: I20240216000321

Medical Identifiers

Medical identifiers for Patrick L Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194483818	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	002150-01 (New York)	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. Patrick L Russell allows following entities to bill medicare on his behalf.

Entity Name	Family Service Of The Chautauqua Region, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891820171 PECOS PAC ID: 8729032784 Enrollment ID: O20050311000692

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. Patrick L 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
Patrick L Russell, LMHC 332 E 4th St, Jamestown, NY 14701-5598 Ph: (716) 488-1971	Patrick L Russell, LMHC 332 E 4th St, Jamestown, NY 14701-5502 Ph: (716) 488-1971

Reviews and Comments

Counselor in Jamestown, NY

Jessica R Willett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E 3rd St Ste 5, Jamestown, NY 14701 Phone: 716-661-8330 Fax: 716-753-4230
Christina Marsh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E 3rd St, 5th Floor, Jamestown, NY 14701 Phone: 716-753-4104
Ned R. Lindstrom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Howard Ave, Jamestown, NY 14701 Phone: 724-396-1510 Fax: 724-972-4627
Coleen M Golab, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 2536 Carlson Rd, Jamestown, NY 14701 Phone: 814-490-6755
Betty J Ridout, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E 3rd St, Jamestown, NY 14701 Phone: 716-661-8330
Sarah Rurycz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 880 E 2nd St, Jamestown, NY 14701 Phone: 716-661-1590
Toni L Castiglia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E 3rd St, Jamestown, NY 14701 Phone: 716-661-8330

Patrick L Russell, LMHC - Medicare Counselor in Jamestown, NY