Linda Ann Russell, RD, LD, CDCES is a medicare enrolled "Dietitian, Registered" provider in Bridgton, Maine. Her current practice location is
10 Hospital Dr, Bridgton, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 647-6062.
Linda Ann Russell is licensed to practice in Maine (license number DI314) 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 1619560976.
Healthcare Provider's Profile
| Full Name | Linda Ann Russell |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 10 Hospital Dr, Bridgton, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619560976
- Provider Enumeration Date: 02/18/2021
- Last Update Date: 02/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 7719915776
- Enrollment ID: I20050801000239
Medical Identifiers
Medical identifiers for Linda Ann Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619560976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | DI314 (Maine) | 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. Linda Ann Russell allows following entities to bill medicare on her behalf.
| Provider Name | Bridgton Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1154370153
PECOS PAC ID: 8123919099
Enrollment ID: O20040322000534 |
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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. Linda Ann 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 |
|---|
Linda Ann Russell, RD, LD, CDCES
10 Hospital Dr,
Bridgton, ME 04009-1148
Ph: (207) 647-6062 | Linda Ann Russell, RD, LD, CDCES
10 Hospital Dr,
Bridgton, ME 04009-1148
Ph: (207) 647-6062 |
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