Mrs Rebecca Russell, is a medicare enrolled "Physical Medicine & Rehabilitation" in Raleigh, North Carolina. Her current practice location is
4210 Lake Boone Trl, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 784-6600.
Mrs Rebecca Russell is licensed to practice in North Carolina (license number 5017539) 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 1245669498.
Provider's Profile
Full Name | Mrs Rebecca Russell |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 4210 Lake Boone Trl, Raleigh, North Carolina |
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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: 1245669498
- Provider Enumeration Date: 11/08/2013
- Last Update Date: 01/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072741891
- Enrollment ID: I20230411000082
Medical Identifiers
Medical identifiers for Mrs Rebecca Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245669498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | F-338111-1 (New York) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 5017539 (North Carolina) | 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. Mrs Rebecca Russell allows following entities to bill medicare on her behalf.
Entity Name | University Of North Carolina At Chapel Hill |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
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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. Mrs Rebecca 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 |
Mrs Rebecca Russell, 4210 Lake Boone Trl, Raleigh, NC 27607-6521 Ph: (919) 784-6600 | Mrs Rebecca Russell, 4210 Lake Boone Trl, Raleigh, NC 27607-6521 Ph: (919) 784-6600 |
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