Lori Rene Russell, OT | |
2500 Hilborn Rd, Fairfield, CA 94534-1097 | |
(707) 646-5599 | |
(707) 646-5574 |
Full Name | Lori Rene Russell |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 40 Years |
Location | 2500 Hilborn Rd, Fairfield, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255741724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 438 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northbay Healthcare Group | 0042122244 | 244 |
Provider Name | Northbay Healthcare Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
Mailing Address | Practice Location Address |
---|---|
Lori Rene Russell, OT 1200 B Gale Wilson Blvd, Attn: Rehab Department, Fairfield, CA 94533-3552 Ph: (707) 624-7470 | Lori Rene Russell, OT 2500 Hilborn Rd, Fairfield, CA 94534-1097 Ph: (707) 646-5599 |
Cristina Marissa Cummings, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Empire St, Fairfield, CA 94533 Phone: 707-425-5744 Fax: 707-425-5162 | |
Whitney E Rosenberg, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1411 Oliver Rd, Suite 200, Fairfield, CA 94534 Phone: 707-428-1311 Fax: 707-428-1354 | |
Verona Boucher, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3251 Formby Ln, Fairfield, CA 94534 Phone: 856-673-8441 | |
Jonathan Tin Chee Lum, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2702 Low Ct, Fairfield, CA 94534 Phone: 707-432-2660 | |
Stephanie Leigh Westfahl, OTR-L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2800 Estates Dr, Laurel Creek Health Care At Paradise Valley Estates, Fairfield, CA 94533 Phone: 707-432-1218 | |
Betsy Mccormick, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-7899 |