Russell Clay Lightfoot, NURSE PRACTITIONER in Columbus, OH

Russell Clay Lightfoot, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Pediatrics" in Columbus, Ohio. His current practice location is 700 Childrens Dr, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 722-4200.

Russell Clay Lightfoot is licensed to practice in Ohio (license number APRN.CNP.17440) 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 1134502024.

Contact Information

	Russell Clay Lightfoot, NURSE PRACTITIONER
	700 Childrens Dr, Columbus, OH 43205-2664
	(614) 722-4200
	(614) 722-4203

Map and Direction

Provider's Profile

Full Name	Russell Clay Lightfoot
Gender	Male
Speciality	Nurse Practitioner - Pediatrics
Location	700 Childrens Dr, Columbus, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134502024
Provider Enumeration Date: 07/09/2015
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 5294040861
Enrollment ID: I20150812007490

Medical Identifiers

Medical identifiers for Russell Clay Lightfoot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134502024	NPI	-	NPPES
0142842	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	COA17440NP (Ohio)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	APRN.CNP.17440 (Ohio)	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 Clay Lightfoot allows following entities to bill medicare on his behalf.

Entity Name	Pediatric Academic Association, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198

Entity Name	Children's Anesthesia Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629020680 PECOS PAC ID: 4587568993 Enrollment ID: O20031126000097

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 Clay Lightfoot 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
Russell Clay Lightfoot, NURSE PRACTITIONER 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-2000	Russell Clay Lightfoot, NURSE PRACTITIONER 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-4200

Reviews and Comments

Nurse Practitioner Nurses in Columbus, OH

Ms. Kimberly Gaye Cyphert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 South Grant Avenue, Columbus, OH 43215 Phone: 614-566-9221 Fax: 614-566-8738
Purvi K Patel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 Easton Cmns Ste 125, Columbus, OH 43219 Phone: 847-386-7744
Amy Elizabeth Pietragallo, RN, MSN, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 181 Taylor Ave, Columbus, OH 43203 Phone: 614-293-7677 Fax: 614-293-2867
Megan Lottes, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2160 N High St, Columbus, OH 43201 Phone: 866-389-2727 Fax: 401-652-9787
Ashley Degutis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1560 S High St, Columbus, OH 43207 Phone: 614-274-1455 Fax: 614-274-1433
Paige Kaple, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6001 E Broad St, Columbus, OH 43213 Phone: 614-234-6000
Maria Streng, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000

Russell Clay Lightfoot, NURSE PRACTITIONER - Medicare Nurse Practitioner in Columbus, OH