Mr Russell William Lilly, PMHNP - Medicare Nurse Practitioner in Freemansburg, PA

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Mr Russell William Lilly, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Freemansburg, Pennsylvania. His current practice location is 832 Kossuth St, Freemansburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 704-1479.

Mr Russell William Lilly is licensed to practice in Pennsylvania (license number SP02014) 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 1639824063.

Contact Information

Mr Russell William Lilly, PMHNP
832 Kossuth St,
Freemansburg, PA 18017-7117
(610) 704-1479
Not Available

Map and Direction




Provider's Profile

Full NameMr Russell William Lilly
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location832 Kossuth St, Freemansburg, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639824063
  • Provider Enumeration Date: 02/15/2022
  • Last Update Date: 04/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9234588146
  • Enrollment ID: I20231218000249

Medical Identifiers

Medical identifiers for Mr Russell William Lilly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639824063NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health SP02014 (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. Mr Russell William Lilly allows following entities to bill medicare on his behalf.
Entity NameVital Healthcare Solutions
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659736957
PECOS PAC ID: 3274830336
Enrollment ID: O20160405000879

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 Russell William Lilly 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
Mr Russell William Lilly, PMHNP
832 Kossuth St,
Freemansburg, PA 18017-7117

Ph: (610) 704-1479		Mr Russell William Lilly, PMHNP
832 Kossuth St,
Freemansburg, PA 18017-7117

Ph: (610) 704-1479

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Nurse Practitioner Nurses in Freemansburg, PA


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).

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