Russell Scott Holliday, DO - Medicare Emergency Medicine in Derby, CT

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Russell Scott Holliday, DO is a medicare enrolled "Emergency Medicine" physician in Derby, Connecticut. His current practice location is 130 Division St, Derby, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 732-7403.

Russell Scott Holliday is licensed to practice in Connecticut (license number 043634) 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 1598884900.

Contact Information

Russell Scott Holliday, DO
130 Division St,
Derby, CT 06418-1326
(203) 732-7403
Not Available

Map and Direction




Physician's Profile

Full NameRussell Scott Holliday
GenderMale
SpecialityEmergency Medicine
Location130 Division St, Derby, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598884900
  • Provider Enumeration Date: 03/28/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6507871845
  • Enrollment ID: I20080822000544

Medical Identifiers

Medical identifiers for Russell Scott Holliday such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598884900NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 043634 (Connecticut)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. Russell Scott Holliday allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790718229
PECOS PAC ID: 1052217478
Enrollment ID: O20031208000899
Entity NameSt Lukes Clinic - Wood River Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972891604
PECOS PAC ID: 3173783818
Enrollment ID: O20120404000474

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. Russell Scott Holliday 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 AddressPractice Location Address
Russell Scott Holliday, DO
130 Division St,
Derby, CT 06418-1326

Ph: () -		Russell Scott Holliday, DO
130 Division St,
Derby, CT 06418-1326

Ph: (203) 732-7403

Reviews and Comments


Emergency Medicine Doctors in Derby, CT

Dr. Sybil Cheng, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7403    Fax: 203-732-7177
Dr. Indrani Datta, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7403    
Dr. Gregory Boris, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7403    Fax: 203-732-7177
Dr. Stephen Michael Kelly, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-735-7421    
Laura Butler, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-735-7421    
Shane Leslie Leighton, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-735-7421    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.