Theresa M Russell, LPC in Quincy, IL - Medicare Counselor Provider

Theresa M Russell, LPC is a medicare enrolled "Counselor - Professional" provider in Quincy, Illinois. Her current practice location is 428 S 36th St, Quincy, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 224-6300.

Theresa M Russell is licensed to practice in Illinois (license number 178008281) 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 1457750895.

Contact Information

	Theresa M Russell, LPC
	428 S 36th St, Quincy, IL 62301-5924
	(217) 224-6300
	(217) 224-4329

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa M Russell
Gender	Female
Speciality	Counselor - Professional
Location	428 S 36th St, Quincy, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457750895
Provider Enumeration Date: 08/21/2014
Last Update Date: 08/21/2014

Medicare PECOS Information:

PECOS PAC ID: 9638520976
Enrollment ID: I20240110004475

Medical Identifiers

Medical identifiers for Theresa M Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457750895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178008281 (Illinois)	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. Theresa M Russell allows following entities to bill medicare on her behalf.

Entity Name	Blessing Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836

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. Theresa M 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
Theresa M Russell, LPC 900 E Laharpe St, Kirksville, MO 63501-4520 Ph: (660) 665-1962	Theresa M Russell, LPC 428 S 36th St, Quincy, IL 62301-5924 Ph: (217) 224-6300

Reviews and Comments

Counselor in Quincy, IL

Stacey Samantha Soliman Juilfs, LPC Counselor Medicare: Medicare Enrolled Practice Location: 639 York St Rm 212, Quincy, IL 62301 Phone: 217-222-6271
Mrs. Anne-claire Marie Vahle, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 S 24th St, Quincy, IL 62301 Phone: 217-222-0034 Fax: 217-222-3865
Janis Lynn Frageman, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4409 Maine, Quincy, IL 62305 Phone: 217-223-0423 Fax: 217-223-0461
Nicole Antoinette Shields, MS, LCPC, QMHP Counselor Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550
Kathleen Jean Nelson, M.S. ED. Counselor Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 Fax: 217-277-2253
Martinette Z Douglas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2931 Payson Hts Apt Suite, Quincy, IL 62305 Phone: 773-669-8168
Heidi Muegge, BS, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4409 Maine St, Quincy, IL 62305 Phone: 217-223-0423 Fax: 217-223-0461

Theresa M Russell, LPC - Medicare Counselor in Quincy, IL