Elizabeth Denise Russ, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kimberton, Pennsylvania. Her current practice location is
1375 Hares Hill Rd, Kimberton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 933-0708.
Elizabeth Denise Russ is licensed to practice in Pennsylvania (license number SP025080) 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 1881175677.
Provider's Profile
Full Name | Elizabeth Denise Russ |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1375 Hares Hill Rd, Kimberton, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881175677
- Provider Enumeration Date: 08/28/2018
- Last Update Date: 02/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527408319
- Enrollment ID: I20240426001171
Medical Identifiers
Medical identifiers for Elizabeth Denise Russ such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881175677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 5010898. (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP025080 (Pennsylvania) | 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. Elizabeth Denise Russ allows following entities to bill medicare on her behalf.
Entity Name | The Kimberton Clinic,inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952422214 PECOS PAC ID: 6507027117 Enrollment ID: O20120409000087 |
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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. Elizabeth Denise Russ 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 |
Elizabeth Denise Russ, FNP 26 Swan Dr, Morgantown, PA 19543-9328 Ph: (949) 306-3642 | Elizabeth Denise Russ, FNP 1375 Hares Hill Rd, Kimberton, PA 19442 Ph: (610) 933-0708 |
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