Russell Buford, LP is a medicare enrolled "Psychologist" provider in Fort Defiance, Arizona. His current practice location is
Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 729-8000.
Russell Buford is licensed to practice in North Carolina (license number 5098) 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 1144687682.
Healthcare Provider's Profile
Full Name | Russell Buford |
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Gender | Male |
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Speciality | Psychologist |
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Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
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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: 1144687682
- Provider Enumeration Date: 01/27/2016
- Last Update Date: 11/01/2019
Medicare PECOS Information:
- PECOS PAC ID: 5991088817
- Enrollment ID: I20170220000267
Medical Identifiers
Medical identifiers for Russell Buford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144687682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 22220 (North Carolina) | Secondary |
103T00000X | Psychologist | 5098 (North Carolina) | 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. Russell Buford allows following entities to bill medicare on his behalf.
Entity Name | Transylvania Community Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174549208 PECOS PAC ID: 4880592427 Enrollment ID: O20031222000135 |
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Entity Name | Angel Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497753651 PECOS PAC ID: 9638253297 Enrollment ID: O20090312000353 |
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Entity Name | Mission Health Community Multispecialty Providers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457719130 PECOS PAC ID: 9537468574 Enrollment ID: O20160426001883 |
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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. Russell Buford 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 |
Russell Buford, LP Po Box 649, Fort Defiance, AZ 86504-0649 Ph: () - | Russell Buford, LP Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8000 |
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