Kellie S Russell, DO in Mission Hills, CA - Medicare Internal Medicine

Kellie S Russell, DO is a medicare enrolled "Internal Medicine" physician in Mission Hills, California. Her current practice location is 11333 Sepulveda Blvd, Mission Hills, California. You can reach out to her office (for appointments etc.) via phone at (818) 365-9531.

Kellie S Russell is licensed to practice in California (license number 20A14139) 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 1588856322.

Contact Information

	Kellie S Russell, DO
	11333 Sepulveda Blvd, Mission Hills, CA 91345-1116
	(818) 365-9531
	Not Available

Map and Direction

Physician's Profile

Full Name	Kellie S Russell
Gender	Female
Speciality	Internal Medicine
Location	11333 Sepulveda Blvd, Mission Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588856322
Provider Enumeration Date: 08/15/2007
Last Update Date: 11/16/2015

Medicare PECOS Information:

PECOS PAC ID: 8325112113
Enrollment ID: I20151020001687

Medical Identifiers

Medical identifiers for Kellie S Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588856322	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	34.009332 (Ohio)	Secondary
208M00000X	Hospitalist	20A14139 (California)	Secondary
207R00000X	Internal Medicine	20A14139 (California)	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. Kellie S Russell allows following entities to bill medicare on her behalf.

Entity Name	Lakeside Medical Organization A Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015

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. Kellie S 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
Kellie S Russell, DO Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5559	Kellie S Russell, DO 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 Ph: (818) 365-9531

Reviews and Comments

Internal Medicine Doctors in Mission Hills, CA

Armin Tahoori, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531
Hayka Hovsepyan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 14901 Rinaldi St Ste 200, Mission Hills, CA 91345 Phone: 818-365-8553 Fax: 818-365-5763
Dr. Donald Rebhun, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11600 Indian Hills Rd, Mission Hills, CA 91345 Phone: 818-838-4510 Fax: 818-838-7510
Samuel M Nyamu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11333 N Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-869-7248 Fax: 818-869-2709
Pascal Dabel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11550 Indian Hills Rd Ste 371, Mission Hills, CA 91345 Phone: 818-365-1194 Fax: 818-898-3835
Dr. Carmen S Slavov, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14901 Rinaldi St, Ste 200, Mission Hills, CA 91345 Phone: 818-254-1500 Fax: 818-244-4830
Mohammad Reza Nahed, MD FCCP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11550 Indian Hills Rd, 301, Mission Hills, CA 91345 Phone: 818-365-4585 Fax: 818-365-5265

Kellie S Russell, DO - Medicare Internal Medicine in Mission Hills, CA