Sandra Jean Russalesi, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Idaho Springs, Colorado. Her current practice location is
1800 Colorado Blvd., Idaho Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 349-5114.
Sandra Jean Russalesi is licensed to practice in Colorado (license number 992689) 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 1023206034.
Healthcare Provider's Profile
Full Name | Sandra Jean Russalesi |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 1800 Colorado Blvd., Idaho Springs, Colorado |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023206034
- Provider Enumeration Date: 10/04/2007
- Last Update Date: 10/04/2007
Medicare PECOS Information:
- PECOS PAC ID: 0143318287
- Enrollment ID: I20071126000729
Medical Identifiers
Medical identifiers for Sandra Jean Russalesi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023206034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 992689 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | 992689 (Colorado) | Primary |
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. Sandra Jean Russalesi 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 |
Sandra Jean Russalesi, LCSW Po Box 3304, Idaho Springs, CO 80452-3304 Ph: (303) 567-0678 | Sandra Jean Russalesi, LCSW 1800 Colorado Blvd., Idaho Springs, CO 80452-3304 Ph: (303) 349-5114 |
Reviews and Comments