Carol Mae Russell, DO in Montclair, NJ - Medicare Obstetrics & Gynecology

Carol Mae Russell, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Montclair, New Jersey. Her current practice location is 1 Bay Ave, Montclair, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 429-6000.

Carol Mae Russell is licensed to practice in New York (license number 238185) 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 1265580096.

Contact Information

	Carol Mae Russell, DO
	1 Bay Ave, Montclair, NJ 07042-4837
	(973) 429-6000
	(973) 429-6209

Map and Direction

Physician's Profile

Full Name	Carol Mae Russell
Gender	Female
Speciality	Obstetrics & Gynecology
Location	1 Bay Ave, Montclair, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265580096
Provider Enumeration Date: 01/08/2007
Last Update Date: 02/20/2017

Medicare PECOS Information:

PECOS PAC ID: 6507957867
Enrollment ID: I20070801000429

Medical Identifiers

Medical identifiers for Carol Mae Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265580096	NPI	-	NPPES
02832057	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	238185 (New York)	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. Carol Mae Russell allows following entities to bill medicare on her behalf.

Entity Name	North Shore-lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Carol Mae 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
Carol Mae Russell, DO 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381 Ph: (201) 666-3900	Carol Mae Russell, DO 1 Bay Ave, Montclair, NJ 07042-4837 Ph: (973) 429-6000

Reviews and Comments

Obstetrics & Gynecology Doctors in Montclair, NJ

Dr. Richard Demarsico, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 33 N Fullerton Ave, Montclair, NJ 07042 Phone: 973-744-2226 Fax: 973-509-0978
Faraj Touchan, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 33 N Fullerton Ave, Montclair, NJ 07042 Phone: 973-744-2226 Fax: 973-509-0978
Silvana Gaudino, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 127 Pine St Ste 10, Montclair, NJ 07042 Phone: 973-707-2122 Fax: 973-655-9559
Elise S Carman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 127 Pine St, Suite 10, Montclair, NJ 07042 Phone: 973-655-9555 Fax: 973-655-9559
Dr. Joseph Robert Ivan, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6930 Fax: 973-429-6209
Babalola Olufemi Jinadu, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6930 Fax: 973-429-6209

Carol Mae Russell, DO - Medicare Obstetrics & Gynecology in Montclair, NJ