Mr Richard A Russell, LD in Salem, OH - Medicare Dietitian, Registered Provider

Mr Richard A Russell, LD is a medicare enrolled "Dietitian, Registered" provider in Salem, Ohio. His current practice location is 1995 E State St, Salem, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 332-7664.

Mr Richard A Russell is licensed to practice in Ohio (license number LD4685) 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 1679792675.

Contact Information

	Mr Richard A Russell, LD
	1995 E State St, Salem, OH 44460-2423
	(330) 332-7664
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Richard A Russell
Gender	Male
Speciality	Dietitian, Registered
Location	1995 E State St, Salem, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679792675
Provider Enumeration Date: 04/25/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4688030315
Enrollment ID: I20230522002835

Medical Identifiers

Medical identifiers for Mr Richard A Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679792675	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	LD4685 (Ohio)	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. Mr Richard A Russell allows following entities to bill medicare on his behalf.

Provider Name	Mercy Health Physicians Youngstown Specialty Care Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835

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. Mr Richard A 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
Mr Richard A Russell, LD 243 W 12th St, Salem, OH 44460-1523 Ph: (330) 337-9794	Mr Richard A Russell, LD 1995 E State St, Salem, OH 44460-2423 Ph: (330) 332-7664

Reviews and Comments

Dietitian, Registered in Salem, OH

Ka Wellness And Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2370 Southeast Blvd, Salem, OH 44460 Phone: 330-333-8990 Fax: 330-595-4727
Mrs. Julie Ann Stefanec, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1995 E State St, Salem, OH 44460 Phone: 330-332-7664
Linda C Ro, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 718 E 3rd St, Suite A, Salem, OH 44460 Phone: 330-332-9986 Fax: 330-332-8899
Mrs. Franciene M Wagner, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1995 E State St, Salem, OH 44460 Phone: 330-332-7431

Mr Richard A Russell, LD - Medicare Dietitian in Salem, OH